Organization Active NPI

Life Care Diagnostics

  • Other Technician
  • Pinellas Park, FL
National Provider Identifier
1346365533
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Legal business name
LIFE CARE DIAGNOSTICS
Practice address
6320 39TH St
Pinellas Park, FL 33781-6070
Phone
(727) 522-4433
Fax
(727) 522-3432
NPI assigned
Mar 20, 2007
Last updated
Apr 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Authorized official

Name
Sandra Lee Nielsen
Title
Owner
Phone
(727) 522-4433

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 247200000X Primary
Physiological Laboratory 293D00000X

Addresses

Primary practice location

6320 39TH St
Pinellas Park, FL 33781-6070

Mailing address

PO Box 40123
St Petersburg, FL 33743-0123
Phone (727) 522-4433

Other identifiers 1

IdentifierTypeStateIssuer
V2023OtherFLBC BS

National Provider Directory

National Provider Directory

Locations

6320 39th St N
Pinellas Park, FL 33781
Phone (727) 522-4433

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1346365533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40123",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337430123",
            "telephone_number": "727-522-4433",
            "fax_number": "727-522-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 39TH ST",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337816070",
            "telephone_number": "727-522-4433",
            "fax_number": "727-522-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-522-4433"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "V2023",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.