NPIMap

Organization Active NPI

Lifestyle Medical Manufacturing

  • Hearing and Speech Clinic/Center
  • Tucson, AZ
National Provider Identifier
1255581583
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
BHAD1362 Issued in AZ
Legal business name
LIFESTYLE MEDICAL MANUFACTURING
Practice address
6479 E 22ND St
Tucson, AZ 85710-5115
Phone
(520) 323-0099
Fax
(520) 290-6905
NPI assigned
Sep 23, 2008
Last updated
Sep 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Ronald MiddletonNPI 1053572305
Title
Owner
Phone
(520) 323-0099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X BHAD1362 AZ Primary

Addresses

Primary practice location

6479 E 22ND St
Tucson, AZ 85710-5115

Mailing address

6479 E 22ND St
Tucson, AZ 85710-5115
Phone (520) 323-0099

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1255581583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6479 E 22ND ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857105115",
            "telephone_number": "520-323-0099",
            "fax_number": "520-290-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6479 E 22ND ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857105115",
            "telephone_number": "520-323-0099",
            "fax_number": "520-290-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE MEDICAL MANUFACTURING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-323-0099"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "AZ",
            "license": "BHAD1362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.