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General NPI Number Information
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NPI Number | 1154996262
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Entity Type | Organization
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Legal Business Name | COAST DIAGNOSTICS OF LOUISIANA, LLC
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Dates
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Enumeration Date | 05/21/2021
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 8146 ONE CALAIS AVE
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City | BATON ROUGE
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State | LA
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Zip | 70809-3449
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Country | US
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Telephone | 251-459-8405
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8428
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City | MOBILE
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State | AL
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Zip | 36689-0428
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Country | US
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Telephone | 251-366-6433
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Fax |
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Authorized Official
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Title or Position | BILLING
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Name | DONNA MERCER
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Credential |
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Telephone | 251-459-8626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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