Lifeline Ppe

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

LIFELINE PPE

Practice address

3866 Julnar Ave
North Port, FL 34286

Phone

(800) 940-0661

NPI assigned

Aug 8, 2024

Organization subpart

No

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

Authorized official

Name

Michael BorzaNPI 1164271425

Title

Owner/Authorized Official

Phone

(800) 940-0661

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Michael Borza

  • Physiological Laboratory
  • North Port, FL
  • NPI 1164271425
  NPD Authorized official
• Kunal Uttam Gurav, M.D

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1033434576
  NPD

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1912738436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 S SUMTER BLVD STE 317",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872335",
            "telephone_number": "800-940-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3866 JULNAR AVE",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "34286",
            "telephone_number": "800-940-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE PPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "BORZA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "800-940-0661"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Lenfest, M.A. CCC-SLP
• Alex Leonard
• Maria Leslie
• Carol Althea Lewis
• Janet K. Lewis, M.D.
• Lifesong Midwifery, Inc.
• Laura Lima de Almeida
• Limitless Leaps Pediatric Therapy LLC
• Stefanie M Limona
• Joshua Ling

• Physiological Laboratory in North Port, FL
• Providers in North Port, FL by specialty
• Physiological Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.