LIFELINE MEDICAL LABORATORY INCORPORATED (NPI# 1083189088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083189088 |
| Entity Type | Organization |
| Organization Name | LIFELINE MEDICAL LABORATORY INCORPORATED |
| Practice Address |
10509 Burbank Blvd North Hollywood CA 91601-2219 |
| Practice Telephone | 8185794220 |
| Practice Fax Number | 8183011916 |
| Mailing Telephone | 8185794220 |
| Mailing Fax Number | 8183011916 |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2019-06-02 |
| Authorized Official Name | JUAN ROBLES (OWNER) |
| Authorized Official Telephone | 8185794220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CLINICAL LABORATORY LICENSE | CLF00333135 | 01 |
| CA | CLIA | O5D1039663 | 01 |
| Street Address |
10509 BURBANK BLVD |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91601-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942711825 | Geoffrey Ryan | Counselor | 5002 Tujunga Ave. #303, North Hollywood, CA 91601 | 2017-10-18 |
| 1508305772 | Melody Zara | Acupuncturist | 5257 Vineland Ave., North Hollywood, CA 91601 | 2017-02-21 |
| 1013455500 | Chandler Treatment LLC | Preferred Provider Organization | 5503 Cahuenga Blvd Suite 201, Northhollywood, CA 91601 | 2017-02-06 |
| 1770021230 | Bairat Shasi | Nurse Practitioner | 5251 Vineland Ave Apt 514, North Hollywood, CA 91601 | 2017-02-05 |
| 1194187609 | A&m Miracle Home Health Care, Inc | Home Health | 10545 Burbank Blvd., Suite 127, North Hollywood, CA 91601 | 2016-03-23 |
| 1053771329 | Suzette Galvez | Case Manager/Care Coordinator | 11415 Albers St Apt 4, Noho, CA 91601 | 2016-03-01 |
| 1467835025 | Loyalty Home Health, Inc. | Home Health | 10545 Burbank Blvd Suite 117, North Hollywood, CA 91601 | 2015-07-01 |
| 1689063646 | Jane Edith Wilson | Counselor | 11027 Bubank Blvd, North Hollywood, CA 91601 | 2015-01-14 |
| 1083022206 | Mulberry Leaf Acupuncture & Herbs | Acupuncturist | 5257 Vineland Ave, North Hollywood, CA 91601 | 2014-07-31 |
| 1306256813 | Confidence & Care Hospice, Inc. | Hospice Care, Community Based | 10523 Burbank Blvd Suite 221, North Hiollywood, CA 91601 | 2014-05-06 |
| Find all providers in zip 91601 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962037077 | Sharp Lab Diagnostics | Clinical Medical Laboratory | 11755 Victory Blvd Ste 240, North Hollywood, CA 91606-3400 | 2020-03-09 |
| 1255802625 | Pathex Labs Inc. | Clinical Medical Laboratory | 6450 Bellingham Ave Ste E, North Hollywood, CA 91606-1436 | 2018-12-11 |
| 1154811917 | Gmi Laboratories LLC | Clinical Medical Laboratory | 12840 Riverside Dr Ste 200, North Hollywood, CA 91607-3336 | 2018-05-16 |
| 1427316272 | California Medcare Management | Clinical Medical Laboratory | 6040 Beeman Ave, North Hollywood, CA 91606-4466 | 2012-04-30 |
| 1548377914 | Noho Clinical Laboratories Inc | Clinical Medical Laboratory | 11024 Magnolia Blvd, Suite C, North Hollywood, CA 91601-3810 | 2006-08-23 |
| 1356951040 | Sirona Lab Diagnostics Inc | Clinical Medical Laboratory | 11755 Victory Blvd Ste 108, North Hollywood, CA 91606-3461 | 2020-08-06 |
| 1679032395 | Pathex Labs Inc | Clinical Medical Laboratory | 6450 Bellingham Ave Ste E, North Hollywood, CA 91606-1436 | 2019-03-13 |
| 1437571577 | Rad Universal Inc | Clinical Medical Laboratory | 12826 Victory Blvd, Ste D, North Hollywood, CA 91606-3013 | 2014-01-08 |
| 1962778480 | Parvaneh Moheban | Clinical Medical Laboratory | 5635 Cahuenga Blvd, North Hollywood, CA 91601-2104 | 2012-03-29 |
| 1568774891 | Doctor's Imaging Center | Clinical Medical Laboratory | 12115 Magnolia Blvd, #27, North Hollywood, CA 91607-2609 | 2010-07-01 |
| Find all providers in NORTH HOLLYWOOD | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.