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PRIMELIFE LLC NPI 1306244934


NPI Information

NPI: 1306244934
Provider Name: PRIMELIFE, LLC
Classification: Physician Assistant - 363A00000X
Entity Type: Organization

CLIA Number: 16D2135452

Address:
2610 NORTHRIDGE PKWY STE 103
AMES, IA
ZIP 50010
Phone: (515) 292-4845
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PRIMELIFE, LLC is a physician assistant in Ames, IA. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. PRIMELIFE, LLC NPI is 1306244934. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2610 NORTHRIDGE PKWY STE 103
AMES, IA
ZIP 50010-088
Phone: (515) 292-4845
Fax: (515) 303-2291

The provider's authorized official is Melanie Linn Spencer .
The authorized official title is Physician Assistant and has the following contact phone number (515) 292-4845.

The CLIA number assigned to this NPI record is 16D2135452 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2014 and was last updated on 11/28/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant001669IOWAYes

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: 5/5/2024

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