Organization Active NPI

Screening for Life LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Abilene, TX
National Provider Identifier
1871909713
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
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

Updated by the provider on Jan 2, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
316060803MedicaidTX
217108100OtherTXFIRSTCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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

Sources for this page

Verify at the official NPI Registry.