Healthcare Provider Details

I. General information

NPI: 1295870871
Provider Name (Legal Business Name): COASTAL SLEEP DIAGNOSTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 FAUNCE CORNER RD FL 2
NORTH DARTMOUTH MA
02747-1271
US

IV. Provider business mailing address

6 BLACKSTONE VALLEY PL STE 707
LINCOLN RI
02865-1170
US

V. Phone/Fax

Practice location:
  • Phone: 781-740-9155
  • Fax: 781-740-9156
Mailing address:
  • Phone: 401-286-9201
  • Fax: 781-740-9156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number StateMA

VIII. Authorized Official

Name: CASEY LYNN LAFLEUR
Title or Position: BILLING MANAGER
Credential:
Phone: 401-541-9188