Active NPI
Lifeline Distributions LLC
- Radiology Clinic/Center
- Dubuque, IA
National Provider Identifier
1801704374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- LIFELINE DISTRIBUTIONS LLC
- Practice address
- 1616 Donovan Dr
Dubuque, IA 52002-2641 - Phone
- (563) 663-1959
- NPI assigned
- Aug 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sidra Abbas
- Title
- Owner
- Phone
- (563) 663-1959
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
1616 Donovan Dr
Dubuque, IA 52002-2641
Mailing address
1616 Donovan Dr
Dubuque, IA 52002-2641
Phone (563) 663-1959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788912000000",
"number": "1801704374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 DONOVAN DR",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520022641",
"telephone_number": "563-663-1959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 DONOVAN DR",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520022641",
"telephone_number": "563-663-1959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFELINE DISTRIBUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-27",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A",
"authorized_official_last_name": "ABBAS",
"authorized_official_first_name": "SIDRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "563-663-1959"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.