MEDICARE: COASTAL SLEEP DIAGNOSTICS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)		MA
2	261QS1200X	Sleep Disorder Diagnostic Clinic/Center		MA

General Provider Information

NPI Number	:	1295870871
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COASTAL SLEEP DIAGNOSTICS, LLC

Provider Business Mailing Address
First Line	:	6 BLACKSTONE VALLEY PL STE 707
Second Line	:
City	:	LINCOLN
State	:	RI
Zip	:	02865-1170
Country	:	US
Telephone Number	:	401-286-9201
Fax Number	:	781-740-9156

Provider Business Practice Location Address
First Line	:	370 FAUNCE CORNER RD FL 2
Second Line	:
City	:	NORTH DARTMOUTH
State	:	MA
Zip	:	02747-1271
Country	:	US
Telephone Number	:	781-740-9155
Fax Number	:	781-740-9156

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	CASEY LYNN LAFLEUR
Credential	:
Telephone Number	:	401-541-9188

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	11/17/2025

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