| NPI | 1972590552 |
|---|---|
| Doing Business As | COASTAL MEDICAL LAB |
| Entity Type | Organization |
| Authorized Contact | MERYL MOSS COO 401-421-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: RI 00412) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2017-02-06 |