COASTAL DIAGNOSTIC IMAGING, PLLC
NPI 1891741377
Specialist in Jacksonville, NC

Active since May 26, 2006
3606 HENDERSON DR, JACKSONVILLE, NC 28546(910) 937-7226 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coastal Diagnostic Imaging, Pllc NPPES

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

COASTAL DIAGNOSTIC IMAGING, PLLC (NPI 1891741377) is a healthcare organization registered as a specialist in Jacksonville, North Carolina and active in the NPI registry since May 2006. The organization lists Mike Villa, Coo, as its authorized official.

NPPES Registry Identity

NPI1891741377
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOASTAL DIAGNOSTIC IMAGING, PLLC
Location Address3606 HENDERSON DRJacksonville, NC 28546-5217
Mailing Address4300 N Point Pkwy, Credentialing DeptAlpharetta, GA 30022-4102 · (770) 300-0101 · Fax (770) 300-0429
Organization SubpartNo
Authorized OfficialMike VillaCoo · (770) 300-0101
Enumeration DateMay 26, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1891741377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
3606 HENDERSON DR, Jacksonville, NC 28546

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

Other Providers at the Same Location NPPES

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

Radiology (Diagnostic Radiology)
3606 HENDERSON DR
JACKSONVILLE, NC 28546

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 Diagnostic Imaging, PLLC's NPI number?

The NPI number for Coastal Diagnostic Imaging, PLLC is 1891741377. It was assigned to this organization in the NPPES registry on May 26, 2006.

Where is Coastal Diagnostic Imaging, PLLC located?

Coastal Diagnostic Imaging, PLLC is located at 3606 Henderson Dr, Jacksonville, NC 28546. The listed phone number is (910) 937-7226.

What is Coastal Diagnostic Imaging, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Coastal Diagnostic Imaging, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.