COASTAL CANCER CENTER, LLC
NPI 1336169531
Internal Medicine - Hematology & Oncology in Murrells Inlet, SC
About Coastal Cancer Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL CANCER CENTER, LLC (NPI 1336169531), doing business as Coastal Cancer Center, is a healthcare organization registered as a hematology & oncology in Murrells Inlet, South Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through February 23, 2027 and lists Vijay Paudel, Partner, as its authorized official.Information from the official NPPES registry record, last updated September 2, 2025.
NPPES Registry Identity
★ Primary Specialty
Internal Medicine · Hematology & Oncology
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… Show more
Also Listed
Also on File with NPPES
8902481 (Medicaid, NC)
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20666621
- Accepts Medicare Assignment
- YES
- Specialities List
- Pharmacy.
- Provider Type List
- PHYSICIAN – HEMATOLOGY/ONCOLOGY.
- Competitive Bidding
- NO
Supplies List
- Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
- Oral Anticancer Drugs - FDA anticancer drugs
- Oral Antiemetic Drugs - FDA antiemetic drugs
- External Infusion Pumps and/or Supplies - An infusion pump is necessary to safely administer the drug
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D0699945
- Facility Type
- Physician Office
- Certificate Effective Date
- February 24, 2025
- Certificate Expiration Date
- February 23, 2027
- Laboratory Director
- DEJUANIA A. BROWN-RAWLS
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Coastal Cancer Center, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336169531, enumerated as an "organization" on July 20, 2006.
The provider is located at 4620 HIGHWAY 17 MURRELLS INLET, SC 29576 and the phone number is (843) 357-7357.
Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.
The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, Medicare. Please consult your insurance carrier or call the provider to verify.