| NPI | 1659927333 |
|---|---|
| Doing Business As | COASTAL BIOTECH |
| Entity Type | Organization |
| Authorized Contact | COLEMAN PAYNE Managing Partner 859-317-8009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2019-08-17 |
| Last Update Date | 2025-08-13 |