LIFELINK FOUNDATION INC (NPI# 1629070917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629070917 |
| Entity Type | Organization |
| Organization Name | LIFELINK FOUNDATION INC |
| Other Organization Name | LIFELINK IMMUNOLOGY LABORATORY |
| Practice Address |
409 Bayshore Blvd Tampa FL 33606-2707 |
| Practice Telephone | 8132532640 |
| Practice Fax Number | 8132538356 |
| Mailing Telephone | 8132532640 |
| Mailing Fax Number | 8132538356 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2009-02-13 |
| Authorized Official Name | MR. DENNIS F HEINRICHS (PRESIDENT & COO) |
| Authorized Official Telephone | 8132532640 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 80001111 | FL | Laboratories |
| Other Name | Type Code |
|---|---|
| LifeLink Immunology Laboratory | Doing Business As Name - Organization |
| Street Address |
409 BAYSHORE BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516209 | Eduardo Alsina | Transplant Surgery | 409 Bayshore Blvd, Tampa, FL 33606-2707 | 2005-05-23 |
| 1326547357 | Valerija Rudic | Nurse Practitioner | 409 Bayshore Blvd, Tampa, FL 33606 | 2018-02-05 |
| 1184166381 | Caroline Elizabeth Matthews | Nurse Practitioner | 409 Bayshore Blvd, Tampa, FL 33606-2707 | 2016-11-06 |
| 1710343637 | Flavia Bravo | Nurse Practitioner | 409 Bayshore Blvd, Tampa, FL 33606-2707 | 2016-01-07 |
| 1265817233 | Edward Olin Elrod | Nurse Practitioner | 409 Bayshore Blvd, Tampa, FL 33606-2707 | 2015-07-20 |
| 1811396021 | Elizabeth Mary Kohan | Nurse Practitioner | 409 Bayshore Blvd, Tampa, FL 33606-2707 | 2014-08-14 |
| 1245639483 | Lina Vega-brownlee | Nurse Practitioner | 409 Bayshore Blvd, Tampa, FL 33606-2707 | 2014-08-13 |
| 1598188997 | Jacentha Buggs | Surgery | 409 Bayshore Blvd, #634, Tampa, FL 33606-2707 | 2014-01-22 |
| 1932549359 | Vijay Subramanian | Transplant Surgery | 409 Bayshore Blvd, Tampa, FL 33606-2707 | 2013-06-29 |
| 1962840702 | Stacey Lynn Kollet | Registered Nurse | 409 Bayshore Blvd, Tampa, FL 33606-2707 | 2013-06-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| 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. |
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| 1992346571 | American Lab LLC | Clinical Medical Laboratory | 1419 W Waters Ave Ste 119, Tampa, FL 33604-2896 | 2019-10-04 |
| 1851863138 | Protean Biodiagnostics Inc | Clinical Medical Laboratory | 3802 Spectrum Blvd Ste 122, Tampa, FL 33612-9220 | 2018-12-26 |
| 1770081507 | Eccolab Group Co | Clinical Medical Laboratory | 2801 W Waters Ave Ste 1b, Tampa, FL 33614-1866 | 2018-01-26 |
| 1861939183 | Cbs Labs of Tampa LLC | Clinical Medical Laboratory | 1916 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2017-01-24 |
| 1750835278 | G. Cross Medical Labs, LLC | Clinical Medical Laboratory | 2901 N Dale Mabry Hwy, #612, Tampa, FL 33607-2412 | 2016-08-12 |
| 1477906022 | Atlas Diagnostic Holdings, LLC | Clinical Medical Laboratory | 4023 N Armenia Ave Ste 101, Tampa, FL 33607-1013 | 2016-07-19 |
| 1053793026 | University Medical Service Association Inc | Clinical Medical Laboratory | 4107 Usf Cedar Cir, Ste 171, Tampa, FL 33620-0001 | 2015-06-25 |
| 1528469731 | D2 Health Management LLC | Clinical Medical Laboratory | 2005 Pan Am Cir, Tampa, FL 33607-2359 | 2014-09-07 |
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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.