LIVELIFE LLC


Address: 8668 John Hickman Parkway, Frisco, TX 75034
Phone: 9726687500

LIVELIFE LLC (NPI# 1255979506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255979506
Entity Type Organization
Organization Name LIVELIFE LLC
Other Organization Name VITAFUSION
Practice Address 8668 John Hickman Parkway
Frisco
TX 75034
Mailing Address 8668 John Hickman Pkwy Ste 603
Frisco
TX 75034-9385
Practice Telephone 9726687500
Mailing Telephone 9726687500
Enumeration Date 2019-12-17
Last Update Date 2020-01-10
Authorized Official Name DR. DAWDA K POUNCY (CEO)
Authorized Official Telephone 4695562464
Authorized Official Credential DNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities
Y 293D00000X Physiological Laboratory Laboratories

Other Provider/Organization Names

Other Name Type Code
VitaFusion Former Legal Business Name - Organization

Office Location

Street Address 8668 JOHN HICKMAN PARKWAY
City FRISCO
State TX
Zip Code 75034

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Taxonomy Information

Taxonomy Code 293D00000X
Grouping Laboratories
Classification Physiological Laboratory

Taxonomy Definition

A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5.

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1457681678 Health Imaging Partners LLC Physiological Laboratory 3211 Internet Blvd Ste 120, Frisco, TX 75034-1948 2010-01-11
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Competitor

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City FRISCO
Zip Code 75034

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Dataset Information

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.

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