Organization Active NPI

Life Ambulance Services Inc.

  • Land Ambulance
  • Marietta, GA
National Provider Identifier
1144623042
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
LIFE AMBULANCE SERVICES INC.
Practice address
212 Powers Ferry Rd SE
Marietta, GA 30067-7560
Phone
(404) 334-4561
NPI assigned
Oct 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Authorized official

Name
Sean Fleming
Title
Ceo
Phone
(404) 334-4561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

212 Powers Ferry Rd SE
Marietta, GA 30067-7560

Mailing address

212 Powers Ferry Rd SE
Marietta, GA 30067-7560

National Provider Directory

National Provider Directory

Locations

4851 Georgia Highway 85
Ste 205
Forest Park, GA 30297

5011 Georgia Highway 85
Forest Park, GA 30297
Phone (404) 334-4561

188 Upper Riverdale Rd
Jonesboro, GA 30236
Phone (404) 641-4916

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1144623042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 POWERS FERRY RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 POWERS FERRY RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677560",
            "telephone_number": "404-334-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE AMBULANCE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-334-4561"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.