Organization Active NPI

Lifecross, Inc

  • Ambulance
  • Huntingdon Valley, PA
National Provider Identifier
1144402934
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
LIFECROSS, INC
Practice address
67 Buck Rd Ste 139B-10
Huntingdon Valley, PA 19006-1535
Phone
(215) 828-3315
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Yaroslav Fisun
Title
President
Phone
(215) 828-3315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X PA Primary

Addresses

Primary practice location

67 Buck Rd Ste 139B-10
Huntingdon Valley, PA 19006-1535

Mailing address

67 Buck Rd Ste 139B-10
Huntingdon Valley, PA 19006-1535
Phone (215) 828-3315

National Provider Directory

National Provider Directory

Locations

67 Buck Rd
Ste B10
Huntingdon Vy, PA 19006
Phone (215) 828-3315

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1144402934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BUCK RD STE 139B-10",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061535",
            "telephone_number": "215-828-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 BUCK RD STE 139B-10",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061535",
            "telephone_number": "215-828-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECROSS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "FISUN",
        "authorized_official_first_name": "YAROSLAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-828-3315"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.