Lifeline Biosciences LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LIFELINE BIOSCIENCES LLC

Practice address

2777 Finley Rd Ste 19
Downers Grove, IL 60515-1053

Phone

(331) 356-4264

NPI assigned

Feb 28, 2022

Last updated

Nov 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nadeem Khan

Title

Owner

Phone

(331) 356-4264

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1962158980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 FINLEY RD STE 19",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151053",
            "telephone_number": "331-356-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 FINLEY RD STE 19",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151053",
            "telephone_number": "331-356-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE BIOSCIENCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "NADEEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "331-356-4264"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "14D2252343",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gretchen Anne Lewis, LCPC
• Trina L Lewis
• Alan Li, MD
• Lawrence D. Lieber, M.D.
• Life Care EMS LLC
• Lifespace Communities Inc (Oak Trace)
• Lifespace Communities Inc (Lifespace Personal Services)
• Lifespace Communities Inc (Oak Trace)
• Lifespace Communities Inc
• Sumith Liju

• Clinical Medical Laboratory in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.