LIFELINE PENSACOLA LLC NPI 1083950356

NPI Information

  • NPI: 1083950356
  • Provider Name: LIFELINE PENSACOLA, LLC
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Organization
  • Doing Business As: COASTAL VASCULAR & INTERVENTIONAL CENTER
  • CLIA Number: 10D1106422
  • Address: 1851 N 9TH AVE STE B
    PENSACOLA, FL
    ZIP 32503
  • Phone: (850) 912-8843

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NPI Details

LIFELINE PENSACOLA, LLC is a vascular and interventional radiology radiology in Pensacola, FL. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. LIFELINE PENSACOLA, LLC NPI is 1083950356. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Coastal Vascular & Interventional Center.

The provider's business location address is:

1851 N 9TH AVE STE B
PENSACOLA, FL
ZIP 32503-201
Phone: (850) 912-8843
Fax: (850) 432-0802

The provider's authorized official is Jason Lohmeyer .
The authorized official title is Cfo and has the following contact phone number (847) 949-3855.

The CLIA number assigned to this NPI record is 10D1106422 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2012 and was last updated on 6/30/2021.

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
1207RN0300XInternal MedicineNephrologyNo
22085R0204XRadiologyVascular & Interventional RadiologyYes
32086S0129XSurgeryVascular SurgeryNo

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: 11/21/2025

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