| NPI | 1659927333 |
|---|---|
| Doing Business As | COASTAL BIOTECH |
| Entity Type | Organization |
| Authorized Contact | DONNA MERCER Finance Director 850-728-5431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2019-08-17 |
| Last Update Date | 2020-02-24 |