Lifestream, Inc.

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

LIFESTREAM, INC.

Practice address

3350 SW 148TH Ave Ste 202-B
Miramar, FL 33027-3257

Phone

(305) 264-2021

Fax

(305) 265-0755

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Dovi Faivish

Title

President/Owner

Phone

(305) 264-2021

Specialties & licenses 1

Addresses

Other names 1

• Lifestream Mobile Diagnostic Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Humberto Bordenave, MD

  • Cardiovascular Disease Physician
  • Miami, FL
  • NPI 1326035767
  NPD
• Jack M Greenwood, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Port Jefferson, NY
  • NPI 1851396865
  NPD

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1316970296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 NW 72ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221829",
            "telephone_number": "305-264-2021",
            "fax_number": "305-265-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 SW 148TH AVE STE 202-B",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273257",
            "telephone_number": "305-264-2021",
            "fax_number": "305-265-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTREAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "FAIVISH",
        "authorized_official_first_name": "DOVI",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "305-264-2021"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifestream Mobile Diagnostic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meagan Lide, BCBA
• Life and Leisure Plus
• Life Guide Services Inc
• Life Imaging Inc
• Lifeline Medical Mobility, LLC
• Lifesure, LLC
• Lilita Home II Inc.
• Lilita Home III Inc
• Dielky Linares
• Lincoln Park Rehab

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Miramar, FL
• Providers in Miramar, FL by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.