LIFE LINE SURGICAL SERVICES LLC NPI 1851629356

NPI Information

  • NPI: 1851629356
  • Provider Name: LIFE LINE SURGICAL SERVICES LLC
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Address: 10004 KENNERLY RD
    SUITE 330-A
    SAINT LOUIS, MO
    ZIP 63128
  • Phone: (314) 718-9947

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NPI Details

LIFE LINE SURGICAL SERVICES LLC is a surgery in Saint Louis, MO. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. LIFE LINE SURGICAL SERVICES LLC NPI is 1851629356. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10004 KENNERLY RD
SUITE 330-A
SAINT LOUIS, MO
ZIP 63128-141
Phone: (314) 718-9947
Fax: (314) 718-9947

The provider's authorized official is Della Aridge .
The authorized official title is Nurse/manager and has the following contact phone number (314) 591-1125.

The enumeration date for this NPI number is 11/23/2009 and was last updated on 2/7/2023.

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
1208600000XSurgery33400MISSOURIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
116010260OTHERMISSOURICPIN
21407950017OTHERMISSOURIINDIVIDUAL NPI

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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