LIFE SPAN INC (NPI# 1720458110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720458110 |
| Entity Type | Organization |
| Organization Name | LIFE SPAN INC |
| Practice Address |
265 Sw Lake Forest Way Port St Lucie FL 34986-1771 |
| Practice Telephone | 8134770631 |
| Mailing Telephone | 8134770631 |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |
| Authorized Official Name | MERCEDES BOATWRIGHT (ADMINISTRATIVE) |
| Authorized Official Telephone | 3522570575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
265 SW LAKE FOREST WAY |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34986-1771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992933 | Lindsay B Rojas | Occupational Therapist | 827 Sw Grand Reserves Blvd, Port St Lucie, FL 34986 | 2018-05-15 |
| 1639685266 | Natoya A Queenbourrows | Family Medicine | 2145 Nw Padova St, Port St Lucie, FL 34986 | 2017-12-19 |
| 1740634930 | The Toledo Clinic, LLC | Clinic/Center | 5481 Nw East Torino Parkway, Port St. Lucie, FL 34986 | 2016-04-14 |
| 1326407230 | Merline Smellie | Social Worker | 525 Nw Lake Whitney Place, Ste 102 & 103, Port St Lucie, FL 34986 | 2016-02-19 |
| 1124486949 | Therapy Connection of The Treasure Coast | Speech-Language Pathologist | 549 Nw Lake Whitney Pl Ste 104, Port St Lucie, FL 34986 | 2016-02-08 |
| 1689050015 | Yudelquis Comas Sanchez | Internal Medicine | Lawnwood Regional Medical Center, 1700 S 23rd St, Fort Pierce, FL 34986 | 2015-08-07 |
| 1689056889 | Joshua Chupp | Dentist | 1384 Sw St. Lucie West Blvd, Port St. Lucie, FL 34986 | 2015-06-24 |
| 1366821720 | Kids Therapy Solutions | Occupational Therapist | 161 Sw Palm Dr # 201, Port St Lucie, FL 34986 | 2015-05-19 |
| 1134514086 | Comfortable Care Dental Health Professionals, Pa | Dentist | 1384 Sw St. Lucie, Port St. Lucie, FL 34986 | 2015-03-30 |
| 1750787586 | Timothy Michael Kennedy | Chiropractor | 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986 | 2014-11-05 |
| Find all providers in zip 34986 | ||||
| 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 |
|---|---|---|---|---|
| 1881153393 | Mgm Labs LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 314, Port St Lucie, FL 34987-2352 | 2019-03-14 |
| 1083181622 | First Fisher Laboratories, LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 310, Port St Lucie, FL 34987-2352 | 2018-11-01 |
| 1689161051 | Lab Stop Usa, Inc | Clinical Medical Laboratory | 466 Sw Port St Lucie Blvd Ste 103, Port St Lucie, FL 34953-2090 | 2018-04-20 |
| 1326549734 | Bex Lab, LLC | Clinical Medical Laboratory | 7410 S Us Highway 1 Ste 402, Port St Lucie, FL 34952-1449 | 2018-02-22 |
| 1154859825 | True Path Diagnostics, LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 309, Port St Lucie, FL 34987 | 2017-05-25 |
| 1912371089 | Florida Lab Source | Clinical Medical Laboratory | 11350 Sw Village Pkwy, Port St Lucie, FL 34987-2352 | 2015-11-30 |
| 1174997902 | Oracle Reference Labs LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 326, Port St Lucie, FL 34987-2352 | 2015-11-17 |
| 1679873236 | Peacock Medical LLC | Clinical Medical Laboratory | 1091 Sw Bayshore Blvd, Port St Lucie, FL 34983-2463 | 2010-10-29 |
| 1245291798 | Liberty Medical Supply Inc | Clinical Medical Laboratory | 10400 S Us Highway 1, Suite 500, Port St Lucie, FL 34952-5600 | 2006-03-31 |
| 1477513323 | Indian River Pathology LLC | Clinical Medical Laboratory | 6696 S Us Highway 1, Port St Lucie, FL 34952-1423 | 2006-03-24 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34986 |
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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.