Organization Active NPI

Life Care Diagnostic, LLC

  • Mobile Radiology Clinic/Center
  • Portsmouth, OH
National Provider Identifier
1548568561
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
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

Updated by the provider on Mar 8, 2011

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.