Life Line Screening Of America
Clinical Medical Laboratory in Independence, OH. Organization (NPI-2).
NPI number1619238151
StatusActive
Last updated in NPPESMay 31, 2012
Details
- NPI
- 1619238151
- Entity type
- Organization (NPI-2)
- Legal business name
- Life Line Screening Of America
- Organization subpart
- No
- Enumeration date
- May 31, 2012
- Last updated
- May 31, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | 36D1048587 | OH | Yes |
Other names
- Life Line Screening (Doing Business As)
Practice location
6150 Oak Tree Blvd Ste 200Independence, OH 44131-2569
Phone 216-581-6556 · Fax 216-581-9611
Mailing address
6150 Oak Tree Blvd Ste 200Independence, OH 44131-2569
Phone 216-581-6556 · Fax 216-581-9611
Authorized official
Chris Smith
Executive Vice President
2165816556
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