Active NPI
Life Care Diagnostics
- Other Technician
- Pinellas Park, FL
National Provider Identifier
1346365533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V2023 | Other | FL | BC BS |
National Provider Directory
National Provider DirectoryLocations
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.