| Name: | Coast Diagnostics, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 21 Jan 2015 (10 years ago) (Companies founded in January 2015) |
| Entity Number: | 000-327-225 |
| Register Number: | 000327225 |
| ZIP code: | 36608 (Companies in Mobile, 36608) |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Registered Office Street Address: | 4636 BITT & SPUR ROAD SUITE AMOBILE, AL 36608 |
Activities
DIAGNOSTIC LABORATORY
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GJ2ZHYKJHRA9 | 2022-06-11 | 4674 AIRPORT BLVD STE C, MOBILE, AL, 36608, 3124, USA | PO BOX 8428, MOBILE, AL, 36689, 0001, USA | |||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||
| Division Name | COAST DIAGNOSTICS, LLC |
| Division Number | COAST DIAG |
| Congressional District | 01 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2021-05-21 |
| Initial Registration Date | 2021-05-12 |
| Entity Start Date | 2016-11-15 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621511 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | COAST D LLC |
| Role | BILLING |
| Address | 4674 AIRPORT BLVD, STE C, MOBILE, AL, 36608, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | CINDY RICHARDEL |
| Role | BILLING |
| Address | 4674 AIRPORT BLVD SUITE C, MOBILE, AL, 36608, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659755908 | 2015-07-16 | 2022-06-24 | PO BOX 8428, MOBILE, AL, 366890428, US | 4674 AIRPORT BLVD STE C, MOBILE, AL, 366083124, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 251-459-8405 |
Authorized person
| Name | KATHRYN STRINGFELLOW |
| Role | BILLING MANAGER |
| Phone | 2513272125 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CLIA |
| Number | 01D2097767 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COAST DIAGNOSTICS, LLC 401(K) PLAN | 2023 | 473036554 | 2024-02-01 | COAST DIAGNOSTICS, LLC | 38 | |||||||||||||
|
||||||||||||||||||
| COAST DIAGNOSTICS, LLC 401(K) PLAN | 2022 | 473036554 | 2023-07-27 | COAST DIAGNOSTICS, LLC | 65 | |||||||||||||
|
||||||||||||||||||
| COAST DIAGNOSTICS, LLC 401(K) PLAN | 2021 | 473036554 | 2022-10-11 | COAST DIAGNOSTICS, LLC | 90 | |||||||||||||
|
||||||||||||||||||
| Name | Role | Address |
|---|---|---|
| WARD, BRIAN | Agent | 4636 BIT & SPUR RD STE AMOBILE, AL 36608 |
| Name | Role | Address |
|---|---|---|
| TAIT, CHARLES E | Organizer | 11 NORTH WATER STREET, SUITE 22200MOBILE, AL 36602-5537 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
