Lifestart National Fitness

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

LIFESTART NATIONAL FITNESS

Practice address

125 S Wacker Dr
Suite 2155
Chicago, IL 60606-4424

Phone

(312) 627-1300

Fax

(312) 627-1317

NPI assigned

Dec 9, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Mike Flanagan

Title

President

Phone

(312) 627-1300

Specialties & licenses 4

Addresses

Locations

Practitioners 1

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

• Amy Flanagan, RN

  • Registered Nurse
  • Chicago, IL
  • NPI 1790106474
  NPD (past)

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1376974923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S WACKER DR",
            "address_2": "SUITE 2155",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606064424",
            "telephone_number": "312-627-1300",
            "fax_number": "312-627-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S WACKER DR",
            "address_2": "SUITE 2155",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606064424",
            "telephone_number": "312-627-1300",
            "fax_number": "312-627-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTART NATIONAL FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "FLANAGAN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-627-1300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "2478",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN003881",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041344664",
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lifespan Behavioral Health P.C.
• Lifespan Neurodevelopmental Consultants
• Lifesport Physical Therapy PC
• Lifestyle Chiropractic PC
• Lifestyle Physical Therapy & Balance Center, PLLC
• Lifestyle Rejuvenation Medical Group PLLC
• Lifesync Health Inc
• Lifevault Bio, Inc.

• Phlebotomy Technician in Chicago, IL
• Providers in Chicago, IL by specialty
• Phlebotomy Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.