Active NPI
Screening for Life LLC
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Abilene, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- SCREENING FOR LIFE LLC
- Practice address
- 6410 Buffalo Gap Rd # C
Abilene, TX 79606-6055 - Phone
- (325) 692-4410
- Fax
- (325) 232-7814
- NPI assigned
- Jul 10, 2014
- 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
- Etai Sooliman
- Title
- Ceo
- Phone
- (224) 337-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | Primary |
Addresses
Primary practice location
6410 Buffalo Gap Rd # C
Abilene, TX 79606-6055
Mailing address
PO Box 2754
Abilene, TX 79604-2754
Phone (325) 692-4410
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 316060803 | Medicaid | TX | |
| 217108100 | Other | TX | FIRSTCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130829000201 | TX | Part B Supplier - Portable X-Ray Supplier | 7113170978 |
1 other NPI on this enrollment Practice locations: Abilene, TX |
Portable X-ray supplier certification: CCN 45X0009922
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- SCREENING 4 LIFE, LLC
- Certification status
- Active
- Provider type (POS)
- Portable X-ray supplier
- Participating since
- Jan 21, 2014
- Last certification
- May 14, 2018
- Ownership / control type
- Other Than Private
- Facility address
- 6410 Buffalo Gap Road, Suite C
Abilene, TX 79606
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Corridor Mobile Medical Services
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- New Braunfels, TX
- NPI 1295715266
Member Of
Locations
6410 Buffalo Gap Rd
Ste C
Abilene, TX 79606
Phone (325) 692-4410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735776000000",
"number": "1871909713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2754",
"city": "ABILENE",
"state": "TX",
"postal_code": "796042754",
"telephone_number": "325-692-4410",
"fax_number": "325-232-7814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 BUFFALO GAP RD # C",
"city": "ABILENE",
"state": "TX",
"postal_code": "796066055",
"telephone_number": "325-692-4410",
"fax_number": "325-232-7814"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCREENING FOR LIFE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-10",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A",
"authorized_official_last_name": "SOOLIMAN",
"authorized_official_first_name": "ETAI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "224-337-1000"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "316060803",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE",
"identifier": "217108100",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abilene, TX
- Rebekah Lynn Scott
- Yvondia M Scott, DMD
- Brandi E Scowden
- Jessica Nicole Scowden
- Screening for Life LLC
- Jennifer Scruggs, M.ED., ATS, LAT
- Sears Caprock Retirement Corporation (Mesa Springs Healthcare)
- Sears Methodist Center Inc (Sears Methodist Hospice Care)
- Sears Methodist Center, Inc (Wesley Court Methodist Retirement Community)
- Sears Methodist Center, Inc (Sears Methodist Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.