Lifelink Foundation Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

80001111 Issued in FL

Legal business name

LIFELINK FOUNDATION INC

Practice address

9661 Delaney Creek Blvd
Tampa, FL 33619-5121

Phone

(813) 253-2640

Fax

(813) 253-8356

NPI assigned

Jun 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Brisley

Title

Cfo

Phone

(813) 804-4525

Specialties & licenses 1

Addresses

Other names 1

• LifeLink Immunology Laboratory Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Lifelink Foundation Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Lifelink Foundation Inc

  • Organ Procurement Organization
  • Tampa, FL
  • NPI 1598460842
  NPD tax ID
• Lifelink Foundation Inc

  • Organ Procurement Organization
  • Peachtree Corners, GA
  • NPI 1750086021
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Lifelink Foundation Inc

  • Organ Procurement Organization
  • Tampa, FL
  • NPI 1598460842
  NPPES parent name

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1629070917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9661 DELANEY CREEK BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336195121",
            "telephone_number": "813-253-2640",
            "fax_number": "813-258-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9661 DELANEY CREEK BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336195121",
            "telephone_number": "813-253-2640",
            "fax_number": "813-253-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINK FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "BRISLEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-804-4525",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "80001111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeLink Immunology Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lifecare Home Inc
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• Lifefleet Southeast Inc
• Lifeline Chiropractic, Inc.
• Lifelink Foundation Inc
• Lifelink Healthcare Institute Inc
• Lifeshare Management Group, Inc
• Lifeskills South Florida Outpatient LLC
• Lifespan Psychology Services, LLC
• Lifetime Smiles Dental Care

• Clinical Medical Laboratory in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.