Life Medical Response, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

730522 Issued in OH

Legal business name

LIFE MEDICAL RESPONSE, INC.

Practice address

1643 Offnere St
Portsmouth, OH 45662-3537

Phone

(740) 354-3377

Fax

(740) 354-3388

NPI assigned

Feb 21, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Michael C. Pistole

Title

Owner

Phone

(740) 354-3377

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1164847539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 OFFNERE ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623537",
            "telephone_number": "740-354-3377",
            "fax_number": "740-354-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 OFFNERE ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623537",
            "telephone_number": "740-354-3377",
            "fax_number": "740-354-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE MEDICAL RESPONSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "PISTOLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-354-3377",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "730522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Ambulance Service Inc
• Life Care Diagnostic, LLC
• Life Care Home Health II
• Life Care Home Medical Equipment, LLC
• Life Emergency Medical Services
• Life Medical Response, Inc.
• Alexandra B Liles
• Darienne N Liles, CNM
• Timothy Maxwell Liles, SWT, CDCA, QMHS, CMS
• Jessica Lilje

• Ambulance in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.