SOUTH COAST RADIOLOGY
NPI 1902090103
Physiological Laboratory in Coos Bay, OR

Active since August 30, 2007
2650 N 17TH ST, COOS BAY, OR 97420(541) 267-5411(541) 267-4898 Get Directions Write a Review

NPPES record last updated: August 30, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Coast Radiology NPPES

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

SOUTH COAST RADIOLOGY (NPI 1902090103) is a healthcare organization registered as a physiological laboratory in Coos Bay, Oregon and active in the NPI registry since August 2007. The organization lists Eric Wnuck, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902090103
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameENHANCED MEDICAL IMAGING OF COOS BAY LLC
Location Address2650 N 17TH STCoos Bay, OR 97420-2134
Mailing Address2650 N 17th StCoos Bay, OR 97420-2134 · (541) 267-5411 · Fax (541) 267-4898
Fax(541) 267-4898
Organization SubpartNo
Authorized OfficialEric WnuckCeo · (541) 267-5411
Enumeration DateAugust 30, 2007
NPI 1902090103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
2650 N 17TH ST, Coos Bay, OR 97420

Other Names 1

Doing Business AsSouth Coast Radiology

Other Providers at the Same Location NPPES

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

Physiological Laboratory
2650 N 17TH ST
COOS BAY, OR 97420

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 Enhanced Medical Imaging Of Coos Bay LLC's NPI number?

The NPI number for Enhanced Medical Imaging Of Coos Bay LLC is 1902090103. It was assigned to this organization in the NPPES registry on August 30, 2007. The provider is doing business as South Coast Radiology.

Where is Enhanced Medical Imaging Of Coos Bay LLC located?

Enhanced Medical Imaging Of Coos Bay LLC is located at 2650 N 17th St, Coos Bay, OR 97420. The listed phone number is (541) 267-5411.

What is Enhanced Medical Imaging Of Coos Bay LLC's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for Enhanced Medical Imaging Of Coos Bay LLC was last updated on August 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.