Lifeline Pensacola, LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

LIFELINE PENSACOLA, LLC

Practice address

1851 N 9TH Ave Ste B
Pensacola, FL 32503-5201

Phone

(850) 912-8843

Fax

(850) 432-0802

NPI assigned

Dec 14, 2012

Organization subpart

No

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

Authorized official

Name

Jason Lohmeyer

Title

Cfo

Phone

(847) 949-3855

Specialties & licenses 3

Addresses

Other names 1

• Coastal Vascular & Interventional Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1083950356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 782412",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191782412",
            "telephone_number": "847-388-2001",
            "fax_number": "847-388-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 N 9TH AVE STE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325035201",
            "telephone_number": "850-912-8843",
            "fax_number": "850-432-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE PENSACOLA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-14",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "LOHMEYER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-949-3855"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Vascular & Interventional Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Life in Motion Health and Wellness
• Life Net Management Institute
• Life Solutions Counseling Services LLC
• Lifeguard Air Ambulance, Inc
• Lifeguard International
• Lynn E Lightfoot, PH.D.
• Susan W Lightfoot, MHC
• Lighthouse Health Plan, LLC
• Lil Dental, P.a.
• William R Lile, DO

• Vascular & Interventional Radiology Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Vascular & Interventional Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.