Coastline Imaging LLC
Coastline Imaging LLC is a healthcare organization registered as Diagnostic Radiology Physician in Melbourne, FL, holding Type 2 (organization) NPI 1770576167 since 2005. The authorized official on file is Laura Kassa, Compliance Officer.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1770576167 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Coastline Imaging LLC |
| Other name | <Unavail> |
| Practice address | 2290 W EAU GALLIE BLVD STE 104, Melbourne, FL, 32935 |
| Phone | 3212532700 |
| Fax | 3212532267 |
| Enumeration date | 2005-08-31 |
| Last updated in NPPES | 2025-07-11 |
Authorized official
| Name | Laura Kassa |
|---|---|
| Title | Compliance Officer |
| Phone | 9046409129 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2085U0001X | Diagnostic Ultrasound Physician | Secondary | HCC3989 | FL |
| 2085R0202X | Diagnostic Radiology Physician | Primary | HCC3989 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V2122 | Other | FL | BCBS FL |
Copy-ready billing details
Provider: Coastline Imaging LLC NPI: 1770576167 Taxonomy: 2085R0202X (Diagnostic Radiology Physician) Address: 2290 W EAU GALLIE BLVD STE 104, Melbourne, FL, 32935
Verify this record
Cross-check NPI 1770576167 against the authoritative CMS record: view Coastline Imaging LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is Coastline Imaging LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-07-11.