COASTLINE IMAGING LLC NPI 1770576167

NPI Details

COASTLINE IMAGING LLC is a diagnostic radiology radiology in Melbourne, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. COASTLINE IMAGING LLC NPI is 1770576167. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

2290 W EAU GALLIE BLVD STE 104
MELBOURNE, FL
ZIP 32935-134
Phone: (321) 253-2700
Fax: (321) 253-2267

The provider's authorized official is Laura Kassa .
The authorized official title is Compliance Officer and has the following contact phone number (904) 640-9129.

The CLIA number assigned to this NPI record is 10D2234595 - other - idtf with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Mri scan of brain before and after contrast (HCPCS:70553)
• Mri scan of brain without contrast (HCPCS:70551)
• Mri scan of lower spinal canal without contrast (HCPCS:72148)
• Mri scan of leg joint without contrast (HCPCS:73721)
• Mri scan of arm joint without contrast (HCPCS:73221)
• Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
• Mri scan of upper spinal canal without contrast (HCPCS:72141)
• Mri scan of blood vessels of head without contrast (HCPCS:70544)
• Mri scan of middle spinal canal without contrast (HCPCS:72146)
• Mri scan of upper spinal canal before and after contrast (HCPCS:72156)
• Mri scan of bone of eye socket, face, and/or neck before and after contrast (HCPCS:70543)
• Mri scan of middle spinal canal before and after contrast (HCPCS:72157)
• Mri scan of lower spinal canal before and after contrast (HCPCS:72158)

The enumeration date for this NPI number is 8/31/2005 and was last updated on 7/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.