LIFEBRIDGE DIAGNOSTICS-MELBOURNE NPI 1609046606

NPI Information

  • NPI: 1609046606
  • Provider Name: LIFEBRIDGE DIAGNOSTICS-MELBOURNE
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Address: 8059 SPYGLASS HILL RD STE 101
    MELBOURNE, FL
    ZIP 32940
  • Phone: (321) 574-8100

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NPI Details

LIFEBRIDGE DIAGNOSTICS-MELBOURNE is a point of service in Melbourne, FL. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. LIFEBRIDGE DIAGNOSTICS-MELBOURNE NPI is 1609046606. The provider is registered as an organization entity type.

The provider's business location address is:

8059 SPYGLASS HILL RD STE 101
MELBOURNE, FL
ZIP 32940-566
Phone: (321) 574-8100
Fax: (866) 903-5688

The provider's authorized official is Taylor Jones .
The authorized official title is Vp Of Operations and has the following contact phone number (321) 574-8100.

The enumeration date for this NPI number is 3/5/2008 and was last updated on 3/5/2008.

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
1305S00000XPoint of ServiceME91814FLORIDAYes

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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