Organization Active NPI

Life Sustainability Group, Inc.

  • Specialist
  • Albuquerque, NM
National Provider Identifier
1437295706
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LIFE SUSTAINABILITY GROUP, INC.
Practice address
10601 Lomas Blvd NE Ste 103
Albuquerque, NM 87112-5462
Phone
(505) 298-5995
Fax
(505) 298-2940
NPI assigned
Jan 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Rex Draman, PHD
Title
President
Phone
(512) 659-4304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

10601 Lomas Blvd NE Ste 103
Albuquerque, NM 87112-5462

Mailing address

10601 Lomas Blvd NE Ste 103
Albuquerque, NM 87112-5462
Phone (505) 298-5995

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437295706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 LOMAS BLVD NE STE 103",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125462",
            "telephone_number": "505-298-5995",
            "fax_number": "505-298-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 LOMAS BLVD NE STE 103",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125462",
            "telephone_number": "505-298-5995",
            "fax_number": "505-298-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SUSTAINABILITY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRAMAN",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-659-4304",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.