Lifebridge Diagnostics-Melbourne

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

ME91814 Issued in FL

Legal business name

LIFEBRIDGE DIAGNOSTICS-MELBOURNE

Practice address

8059 Spyglass Hill Rd Ste 101
Melbourne, FL 32940-8566

Phone

(321) 574-8100

Fax

(866) 903-5688

NPI assigned

Mar 5, 2008

Organization subpart

No

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

Authorized official

Name

Taylor Jones

Title

VP of Operations

Phone

(321) 574-8100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1609046606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8059 SPYGLASS HILL RD STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408566",
            "telephone_number": "321-574-8100",
            "fax_number": "866-903-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8059 SPYGLASS HILL RD STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408566",
            "telephone_number": "321-574-8100",
            "fax_number": "866-903-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBRIDGE DIAGNOSTICS-MELBOURNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "321-574-8100"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "ME91814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilibeth C Libunao, PT
• Linda Kay Liebler, ARNP
• Justin Lieneck, D.M.D., P.A.
• Kelly M Lieneke, LMT
• Life Paths of Florida LLC
• Lifeskills Plus, Inc.
• Emily Jane Light
• Lauren Marie Lightner
• Jean Lillibridge, LMHC
• Terra Lillis

• Point of Service in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.