Provider Demographics
NPI:1114263456
Name:COASTAL IMAGING SOLUTIONS LLC
Entity Type:Organization
Organization Name:COASTAL IMAGING SOLUTIONS LLC
Other - Org Name:GLOBAL IMAGING SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:CONSIDINE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:912-355-6255
Mailing Address - Street 1:503 EISENHOWER DR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-2668
Mailing Address - Country:US
Mailing Address - Phone:912-355-6255
Mailing Address - Fax:912-355-6256
Practice Address - Street 1:503 EISENHOWER DR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-2668
Practice Address - Country:US
Practice Address - Phone:912-355-6255
Practice Address - Fax:912-355-6256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-13
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology