Organization Active NPI

Lifeline Sciences LLC

  • Family Medicine Physician
  • Dearborn Heights, MI
National Provider Identifier
1770058141
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LIFELINE SCIENCES LLC
Practice address
24748 W Warren St
Dearborn Heights, MI 48127-2109
Phone
(313) 278-1820
NPI assigned
Oct 11, 2018
Organization subpart
Yes
Parent organization
LIFELINE SCIENCES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Authorized official

Name
Lori Schultz
Title
Group Director
Phone
(248) 825-3431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

24748 W Warren St
Dearborn Heights, MI 48127-2109

Mailing address

38955 Hills Tech Dr
Farmington Hills, MI 48331-3431
Phone (248) 825-3431

Other names 1

  • Kay FP Other name

National Provider Directory

National Provider Directory
Tax ID family
Lifeline Sciences LLC2 organizations share this tax ID, including this one
Part of
Lifeline Sciences LLC

Other organizations with this tax ID 1

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

Locations

24748 W Warren St
Dearborn Hts, MI 48127
Phone (313) 278-1820

38955 Hills Tech Dr
Farmington Hills, MI 48331

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1770058141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38955 HILLS TECH DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313431",
            "telephone_number": "248-825-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24748 W WARREN ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272109",
            "telephone_number": "313-278-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE SCIENCES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFELINE SCIENCES LLC",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "GROUP DIRECTOR",
        "authorized_official_telephone_number": "248-825-3431"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kay FP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.