Lifeline Imaging LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

LIFELINE IMAGING LLC

Practice address

38 Opal LN
Staten Island, NY 10309-2827

Phone

(917) 923-8484

Fax

(888) 510-9369

NPI assigned

Oct 8, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deanna Zamore

Title

Ceo

Phone

(917) 923-8484

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602374400000",
    "number": "1043852338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90581",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103090581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 OPAL LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092827",
            "telephone_number": "917-923-8484",
            "fax_number": "888-510-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2020-10-11",
        "certification_date": "2020-10-11",
        "status": "A",
        "authorized_official_last_name": "ZAMORE",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-923-8484"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Lieberman
• Ruth Lieberman, R.N, LMHC
• Elaine Liebman, MSED
• Liezl Villaverde, MD PC
• Life Skills Enhancement Occupational Therapy Services, PC
• Lifeline Pharmacy Incorporated
• Lifes Bounty Medical Care P C
• Lifespire, Inc.
• Lifespire, Inc.
• Lifespire, Inc.

• Mobile Radiology Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Mobile Radiology Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.