Active NPI
Life Care Diagnostic, LLC
- Mobile Radiology Clinic/Center
- Portsmouth, OH
National Provider Identifier
1548568561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- Legal business name
- LIFE CARE DIAGNOSTIC, LLC
- Practice address
- 729 6TH St
Portsmouth, OH 45662-4030 - Phone
- (740) 354-6169
- Fax
- (740) 351-1431
- NPI assigned
- Mar 1, 2011
- 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
- Mr. Kevin Meenach
- Title
- Accountant
- Phone
- (740) 354-6169
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | Primary |
Addresses
Primary practice location
729 6TH St
Portsmouth, OH 45662-4030
Mailing address
729 6TH St
Portsmouth, OH 45662-4030
Phone (740) 354-6169
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299542400000",
"number": "1548568561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "729 6TH ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456624030",
"telephone_number": "740-354-6169",
"fax_number": "740-351-1431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 6TH ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456624030",
"telephone_number": "740-354-6169",
"fax_number": "740-351-1431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE CARE DIAGNOSTIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-01",
"last_updated": "2011-03-08",
"status": "A",
"authorized_official_last_name": "MEENACH",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "ACCOUNTANT",
"authorized_official_telephone_number": "740-354-6169",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.