Lifetime Imaging LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

LIFETIME IMAGING LLC

Practice address

5144 E Stop 11 Road
Suite 18
Indianapolis, IN 46237-8606

Phone

(317) 426-0678

NPI assigned

Oct 12, 2016

Organization subpart

No

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

Authorized official

Name

Rebecca LooneyNPI 1356899538

Title

Owner

Phone

(317) 426-0678

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Rebecca Looney

  • Diagnostic Ultrasound Physician
  • Indianapolis, IN
  • NPI 1356899538
  NPD (past) Authorized official

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1356891568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5144 E STOP 11 ROAD",
            "address_2": "SUITE 18",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378606",
            "telephone_number": "317-426-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5144 E STOP 11 ROAD",
            "address_2": "SUITE 18",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378606",
            "telephone_number": "317-426-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "LOONEY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-426-0678"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physiological Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.