Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastal Diagnostics PLLC

Organization Clinical Medical Laboratory · NPI 1407514011

Coastal Diagnostics PLLC is a Clinical Medical Laboratory in Gulfport, Mississippi. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

12320 Ashley Dr Ste D
Gulfport, MS 39503-2550
Phone: (228) 609-9752
Fax: (888) 964-2655
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1407514011
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lakisha Redmond — Owner · (228) 609-9752
Other names Coastal Laboratory Services
NPI enumeratedDecember 1, 2021
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021
Mailing address12320 Ashley Dr Ste D, Gulfport, MS 39503-2550

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