NPIMap

Organization Active NPI

Lifevault Bio, Inc.

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1922726223
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LIFEVAULT BIO, INC.
Practice address
680 N Lake Shore Dr Ste 1231
Chicago, IL 60611-4546
Phone
(800) 772-0593
NPI assigned
Aug 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Katharine Herman
Title
Program Manager
Phone
(800) 772-0593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

680 N Lake Shore Dr Ste 1231
Chicago, IL 60611-4546

Mailing address

50 Washington St FL 12
Norwalk, CT 06854-2710
Phone (800) 772-0593

Other names 1

  • GoodCell Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Goodcell2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

50 Washington St
Fl 12
Norwalk, CT 06854

680 N Lake Shore Dr
Ste 1231
Chicago, IL 60611
Phone (800) 772-0593

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1922726223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WASHINGTON ST FL 12",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068542710",
            "telephone_number": "800-772-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR STE 1231",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "800-772-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEVAULT BIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "KATHARINE",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "800-772-0593"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GoodCell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.