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LIFELINE DIALYSIS CENTER LLC NPI 1740431089


NPI Information

NPI: 1740431089
Provider Name: LIFELINE DIALYSIS CENTER, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BD1200X
Entity Type: Organization

Specialization: Dialysis Equipment & Supplies

Address:
3601 W COMMERCIAL BLVD
#35
FT LAUDERDALE, FL
ZIP 33309
Phone: (954) 676-5488
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LIFELINE DIALYSIS CENTER, LLC is a dialysis equipment and supplies durable medical equipment medical supplies in Ft Lauderdale, FL. LIFELINE DIALYSIS CENTER, LLC NPI is 1740431089. The provider is registered as an organization entity type.

The provider's business location address is:

3601 W COMMERCIAL BLVD
#35
FT LAUDERDALE, FL
ZIP 33309-300
Phone: (954) 676-5488
Fax: (954) 676-5560

The provider's authorized official is Betty Jean Verbal .
The authorized official title is Admin./ceo and has the following contact phone number (954) 676-5488.

The enumeration date for this NPI number is 10/6/2008 and was last updated on 10/6/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BD1200XDurable Medical Equipment & Medical SuppliesDialysis Equipment & SuppliesYes

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
11257170001OTHERFLORIDAMEDICARE PROVIDER NUMBER

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: 11/14/2023

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