Organization Active NPI

Lifeline Centers PC

  • Sleep Disorder Diagnostic Clinic/Center
  • Pittsburgh, PA
National Provider Identifier
1700800331
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
LIFELINE CENTERS PC
Practice address
2030 Ardmore Blvd
251
Pittsburgh, PA 15221-4652
Phone
(412) 351-6545
Fax
(412) 273-1958
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Authorized official

Name
Mrs. Dayna Shipley
Title
Billing
Phone
(412) 351-6545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

2030 Ardmore Blvd
251
Pittsburgh, PA 15221-4652

Mailing address

1525 Park Manor Blvd Ste 308
Pittsburgh, PA 15205-4805
Phone (412) 351-6545

Other identifiers 1

IdentifierTypeStateIssuer
117507OtherPAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070731000404 PA Part B Supplier - Clinic/Group Practice 8921109992 Receives reassigned benefits from 4 practitioners
13 other NPIs on this enrollment
Practice locations: Monroeville, PA; Washington, PA; New Castle, PA; Warrendale, PA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3824 Northern Pike
Ste 472
Monroeville, PA 15146

2602 Wilmington Rd
Ste 204
New Castle, PA 16105
Phone (724) 654-3902

2030 Ardmore Blvd
Ste 251
Pittsburgh, PA 15221
Phone (412) 271-7372

84 Wellness Way
Bldg 3
Washington, PA 15301
Phone (724) 250-6203

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1700800331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 PARK MANOR BLVD STE 308",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152054805",
            "telephone_number": "412-351-6545",
            "fax_number": "412-351-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 ARDMORE BLVD",
            "address_2": "251",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152214652",
            "telephone_number": "412-351-6545",
            "fax_number": "412-273-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE CENTERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "SHIPLEY",
        "authorized_official_first_name": "DAYNA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "412-351-6545",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  PTAN",
            "identifier": "117507",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.