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LIFELINE MEDICAL IMAGING PC NPI 1154895076


NPI Information

NPI: 1154895076
Provider Name: LIFELINE MEDICAL IMAGING PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1810 VOORHIES AVE STE 10
BROOKLYN, NY
ZIP 11235
Phone: (347) 292-7998
Get Directions

LIFELINE MEDICAL IMAGING PC is a diagnostic radiology radiology in Brooklyn, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. LIFELINE MEDICAL IMAGING PC NPI is 1154895076. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1810 VOORHIES AVE STE 10
BROOKLYN, NY
ZIP 11235-313
Phone: (347) 292-7998
Fax: (212) 918-9117

The provider's authorized official is Joseph F Dorsten .
The authorized official title is President and has the following contact phone number (347) 292-7998.

The enumeration date for this NPI number is 1/14/2019 and was last updated on 10/2/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseNo
22084N0400XPsychiatry & NeurologyNeurologyNo
32085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100000000000MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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