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COASTLINE IMAGING LLC
NPI 1184805491
Specialist in Melbourne, FL

Active since November 15, 2007CLIA 10D2234595 · Waiver
2290 W EAU GALLIE BLVD, SUITE 108, MELBOURNE, FL 32935(321) 253-2700(321) 253-2267 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastline Imaging Llc NPPES

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

COASTLINE IMAGING LLC (NPI 1184805491) is a healthcare organization registered as a specialist in Melbourne, Florida and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists James Eaker, President, as its authorized official.

NPPES Registry Identity

NPI1184805491
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOASTLINE IMAGING LLC
Location Address2290 W EAU GALLIE BLVD, SUITE 108Melbourne, FL 32935-3133
Mailing Address2290 W Eau Gallie Blvd, Suite 104Melbourne, FL 32935-3133 · (321) 253-2700 · Fax (321) 253-2267
Phone(321) 253-2700
Fax(321) 253-2267
Organization SubpartNo
Authorized OfficialJames EakerPresident · (321) 253-2700
Enumeration DateNovember 15, 2007
Last NPPES UpdateApril 28, 2022
NPPES CertifiedApril 28, 2022
✔ NPI 1184805491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · HCC3989
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2290 W EAU GALLIE BLVD, Melbourne, FL 32935
Open in Google Maps ↗

Other Identifiers 1

Medicaid264871701FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 of Waiver 10D2234595

Coastline Imaging LLC · Melbourne, FL
Active · expires Aug 31, 2027
CLIA Number10D2234595
Laboratory TypeIdtf
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorLaura M. Kassa
Laboratory Phone(321) 253-2700
Laboratory LocationCoastline Imaging LLC2290 W Eau Gallie Blvd Suite 104, Melbourne, FL 32935
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

MRS. DAWN P HAMEL ARNP-C
Nurse Practitioner (Primary Care)
2290 W EAU GALLIE BLVD
MELBOURNE, FL 32935
Brevard County (321) 435-1505
JAMES T GO MD
Otolaryngology
2290 W EAU GALLIE BLVD, SUITE 110
MELBOURNE, FL 32935
Brevard County (321) 421-7555
DR. RAJESH KANTILAL DESAI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2290 W EAU GALLIE BLVD, SUITE 100
MELBOURNE, FL 32935
Brevard County (321) 309-9000
GILLIAN MARY TROTTER
Nurse Practitioner
2290 W EAU GALLIE BLVD
MELBOURNE, FL 32935
Brevard County (321) 254-4776
DR. NIKHITA DHRUV MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2290 W EAU GALLIE BLVD, SUITE 100
MELBOURNE, FL 32935
Brevard County (321) 309-9000
DR. SUMEET CHANDRA M.D.
Internal Medicine (Medical Oncology)
2290 W EAU GALLIE BLVD, STE 202
MELBOURNE, FL 32935
Brevard County (321) 254-4776
MS. MELISSA A. STUDEBAKER ARNP-C
Nurse Practitioner (Adult Health)
2290 W EAU GALLIE BLVD, SUITE 202
MELBOURNE, FL 32935
Brevard County (321) 254-4776

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 Coastline Imaging LLC's NPI number?

The NPI number for Coastline Imaging LLC is 1184805491. It was assigned to this organization in the NPPES registry on November 15, 2007.

Where is Coastline Imaging LLC located?

Coastline Imaging LLC is located at 2290 W Eau Gallie Blvd Suite 108, Melbourne, FL 32935. The listed phone number is (321) 253-2700.

What is Coastline Imaging LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Coastline Imaging LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2234595) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coastline Imaging LLC was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.