CLEVELAND CLINIC IMAGING – NPI #1124751185
Clinic/Center

CLEVELAND CLINIC IMAGING is an AHC clinic located in PORT SAINT LUCIE, FL. NPPES has assigned the NPI number 1124751185 to CLEVELAND CLINIC IMAGING on July 07, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CLEVELAND CLINIC IMAGING” is a dba name, the actual legal business name for this organization is COASTAL CARE CORPORATION. The primary taxonomy selected by this provider is 261QM1200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Magnetic Resonance Imaging (MRI)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLEVELAND CLINIC IMAGING below.

NPI Profile for
COASTAL CARE CORPORATION

NPI Number
1124751185
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COASTAL CARE CORPORATION
Doing Business As (dba): CLEVELAND CLINIC IMAGING
Primary location
10000 SW INNOVATION WAY
PORT SAINT LUCIE, FL 34987-2111
Phone: (772) 345-5236 Fax:
Mailing address
6801 BRECKSVILLE RD
STE 20, RK2-7
INDEPENDENCE, OH 44131
Phone: (216) 636-4969 Fax:
Organization Subpart
No
Authorized Official
TIMOTHY LONGVILLE
CHIEF ACCOUNTING OFFICER AND CONTRO
Phone: (216) 636-7416
Updated
Certification Date
Jul 07, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1200X
- Clinic/Center / Magnetic Resonance Imaging (MRI) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.