LIFE LINE EMS LLC NPI 1053977744

NPI Information

NPI: 1053977744
Provider Name: LIFE LINE EMS, LLC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 45D2176429

Address:
4143 BLUEBONNET DR
STAFFORD, TX
ZIP 77477
Phone: (832) 203-8778
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LIFE LINE EMS, LLC is a land transport ambulance in Stafford, TX. LIFE LINE EMS, LLC NPI is 1053977744. The provider is registered as an organization entity type.

The provider's business location address is:

4143 BLUEBONNET DR
STAFFORD, TX
ZIP 77477-909
Phone: (832) 203-8778
Fax: (832) 532-3697

The provider's authorized official is Nonye Ozonoh .
The authorized official title is Manager and has the following contact phone number (832) 203-8778.

The CLIA number assigned to this NPI record is 45D2176429 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2019 and was last updated on 11/29/2023.

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
1	3416L0300X	Ambulance	Land Transport			Yes

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

NPI Synchronization or Removal

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