COASTAL MEDICAL, INC.
NPI 1144361718
Non-Pharmacy Dispensing Site in East Providence, RI

Active since February 08, 2007CLIA 41D2219510 · Microscopy
900 WARREN AVE, EAST PROVIDENCE, RI 02914(401) 331-1221 Get Directions Write a Review

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coastal Medical, Inc. NPPES

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

COASTAL MEDICAL, INC. (NPI 1144361718) is a healthcare organization registered as a non-pharmacy dispensing site in East Providence, Rhode Island and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through March 31, 2028 and lists Kenny Heine, Dir. Of Operations, as its authorized official.

NPPES Registry Identity

NPI1144361718
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameCOASTAL MEDICAL, INC.
Location Address900 WARREN AVEEast Providence, RI 02914-1400
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705 · (858) 625-2990 · Fax (858) 625-2999
Organization SubpartYesParent: Medvantx,inc.
Authorized OfficialKenny HeineDir. Of Operations · (858) 625-2990
Enumeration DateFebruary 8, 2007
Last NPPES UpdateOctober 17, 2012
NPI 1144361718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in RI · MD05549
Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

900 WARREN AVE, East Providence, RI 02914

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 41D2219510

Coastal Medical Physicians - Multisite · East Providence, RI
Active · expires Mar 31, 2028
CLIA Number41D2219510
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorEdward D. Mcgookin
Laboratory Phone(401) 444-8528
Laboratory LocationCoastal Medical Physicians - Multisite900 Warren Ave Ste 400, East Providence, RI 02914
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
900 WARREN AVE, SUITE 302
EAST PROVIDENCE, RI 02914
Internal Medicine
900 WARREN AVE, SUITE 400
EAST PROVIDENCE, RI 02914
Internal Medicine
900 WARREN AVE, SUITE 400
EAST PROVIDENCE, RI 02914
Pediatrics
900 WARREN AVE, SUITE 200
EAST PROVIDENCE, RI 02914
Pediatrics
900 WARREN AVE, SUITE 200
EAST PROVIDENCE, RI 02914
Internal Medicine
900 WARREN AVE, SUITE 400
EAST PROVIDENCE, RI 02914
Nurse Practitioner
900 WARREN AVE, SUITE 200
EAST PROVIDENCE, RI 02914
Nurse Practitioner (Acute Care)
900 WARREN AVE, SUITE # 302
EAST PROVIDENCE, RI 02914

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 Medical, Inc.'s NPI number?

The NPI number for Coastal Medical, Inc. is 1144361718. It was assigned to this organization in the NPPES registry on February 8, 2007.

Where is Coastal Medical, Inc. located?

Coastal Medical, Inc. is located at 900 Warren Ave, East Providence, RI 02914. The listed phone number is (401) 331-1221.

What is Coastal Medical, Inc.'s specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Coastal Medical, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 41D2219510) is associated with this NPI, valid through March 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coastal Medical, Inc. accept?

Health plans from Sanford Health Plan list Coastal Medical, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coastal Medical, Inc. was last updated on October 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.