Organization Active NPI

Lifelink Inc

  • General Practice Physician
  • Phoenix, AZ
National Provider Identifier
1669730156
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LIFELINK INC
Practice address
3039 W Peoria Ave Ste 102-125
Phoenix, AZ 85029-5212
Phone
(888) 643-1253
NPI assigned
May 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Mr. Steven Deodato Moore
Title
Co-Founder / President
Phone
(888) 643-1254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

3039 W Peoria Ave Ste 102-125
Phoenix, AZ 85029-5212

Mailing address

3039 W Peoria Ave Ste 102-125
Phoenix, AZ 85029-5212
Phone (888) 643-1253

National Provider Directory

National Provider Directory

Locations

3039 W Peoria Ave
Ste 102125
Phoenix, AZ 85029
Phone (888) 643-1253

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1669730156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3039 W PEORIA AVE STE 102-125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295212",
            "telephone_number": "888-643-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3039 W PEORIA AVE STE 102-125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295212",
            "telephone_number": "888-643-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DEODATO",
        "authorized_official_title_or_position": "CO-FOUNDER / PRESIDENT",
        "authorized_official_telephone_number": "888-643-1254",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.