Lyfelines Certification and Staffing, L.L.C.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LYFELINES CERTIFICATION AND STAFFING, L.L.C.

Practice address

500 Gene Reed Rd Ste 103
Birmingham, AL 35215-8260

Phone

(205) 407-5718

Fax

(205) 407-5802

NPI assigned

Oct 19, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Tiesha Gresham, REGISTERED NURSENPI 1295498970

Title

Ceo

Phone

(205) 407-5718

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, and the practitioner matching its NPPES authorized official.

• Tiesha Gresham, REGISTERED NURSE

  • Administrator Registered Nurse
  • Birmingham, AL
  • NPI 1295498970
  NPD Authorized official

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1538822218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GENE REED RD STE 103",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352158260",
            "telephone_number": "205-407-5718",
            "fax_number": "205-407-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GENE REED RD STE 103",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352158260",
            "telephone_number": "205-407-5718",
            "fax_number": "205-407-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYFELINES CERTIFICATION AND STAFFING, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "GRESHAM",
        "authorized_official_first_name": "TIESHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-407-5718",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Gavin Lyell
• Michael Lyerly
• Ralph Thomas Lyerly III, MD
• Ralph Thomas Lyerly Jr., M.D.
• Richard Howard Lyerly, M.D.
• Lyfesupport LLC
• Kathryn Lyle
• Sheila M. Lyle, CRNA
• Vivian Lyles
• James Lyman

• Clinical Medical Laboratory in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Clinical Medical Laboratory in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.