COASTAL CANCER CENTER LLC
NPI 1013937226
Internal Medicine - Hematology & Oncology in Supply, NC

Active since July 20, 2006CLIA Certified · 2 labs
7 MEDICAL CENTER DR, SUPPLY, NC 28462(910) 755-7509(843) 692-5015 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coastal Cancer Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL CANCER CENTER LLC (NPI 1013937226), doing business as Coastal Cancer Center, is a healthcare organization registered as a hematology & oncology in Supply, North Carolina and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Emily Touloukian, President, as its authorized official.

NPPES Registry Identity

NPI1013937226
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameCOASTAL CANCER CENTER LLC
Location Address7 MEDICAL CENTER DRSupply, NC 28462-3350
Mailing Address8121 Rourk StMyrtle Beach, SC 29572-4128 · (843) 692-5000 · Fax (843) 692-5015
Fax(843) 692-5015
Organization SubpartNo
Authorized OfficialEmily TouloukianPresident · (843) 692-5000
Enumeration DateJuly 20, 2006
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
NPI 1013937226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in NC · 200100151
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
7 MEDICAL CENTER DR, Supply, NC 28462

Other Names 1

Doing Business AsCoastal Cancer Center

Other Identifiers 2

Medicaid89015KVNC
MedicaidNPB047SC

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2292319

Coastal Cancer Center, LLC · Conway, SC
Active · expires Oct 23, 2027
CLIA Number42D2292319
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2025
Certificate Expiration DateOctober 23, 2027
Laboratory DirectorDr. Patrick Franke
Laboratory Phone(843) 692-5000
Laboratory LocationCoastal Cancer Center, LLC8059 Myrtle Trace Drive, Conway, SC 29526
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2019717

Associated Medical Specialists, PA Dba Coastal Cancer Center · Myrtle Beach, SC
Active · expires Feb 3, 2027
CLIA Number42D2019717
Laboratory TypePhysician Office
Certificate Effective DateFebruary 4, 2025
Certificate Expiration DateFebruary 3, 2027
Laboratory DirectorDr. Patrick M. Franke
Laboratory Phone(843) 692-5000
Laboratory LocationAssociated Medical Specialists, PA Dba Coastal Cancer Center4708 Oleander Drive, Myrtle Beach, SC 29577
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 42D0665664

Coastal Cancer Center · Myrtle Beach, SC
Expired · Jul 28, 2026
CLIA Number42D0665664
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2024
Certificate Expiration DateJuly 28, 2026
Laboratory DirectorDejuania A. Brown-Rawls
Laboratory Phone(843) 692-5000
Laboratory LocationCoastal Cancer Center8121 Rourke Street, Myrtle Beach, SC 29572
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Cancer Center LLC's NPI number?

The NPI number for Coastal Cancer Center LLC is 1013937226. It was assigned to this organization in the NPPES registry on July 20, 2006. The provider is doing business as Coastal Cancer Center.

Where is Coastal Cancer Center LLC located?

Coastal Cancer Center LLC is located at 7 Medical Center Dr, Supply, NC 28462. The listed phone number is (910) 755-7509.

What is Coastal Cancer Center LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Does Coastal Cancer Center LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Coastal Cancer Center LLC was last updated on July 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.