LIFESTREAM, INC. (NPI# 1316970296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316970296 |
| Entity Type | Organization |
| Organization Name | LIFESTREAM, INC. |
| Other Organization Name | LIFESTREAM MOBILE DIAGNOSTIC |
| Practice Address |
2471 Nw 72nd Ave Miami FL 33122-1829 |
| Practice Telephone | 3052642021 |
| Practice Fax Number | 3052650755 |
| Mailing Telephone | 3052642021 |
| Mailing Fax Number | 3052650755 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2013-08-29 |
| Authorized Official Name | MS. CYNTHIA M SANCHEZ (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3052642021 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 293D00000X | Physiological Laboratory | U7010 | FL | Laboratories |
| Y | 293D00000X | Physiological Laboratory | HCC6414 | FL | Laboratories |
| Other Name | Type Code |
|---|---|
| Lifestream Mobile Diagnostic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689811903 | Lifestream, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 701 Nw 57 Ave, Suite 200, Miami, FL 33126 | 2009-01-08 |
| 1922246552 | Lifestream, Inc. | Clinic/Center | 701 Nw 57th Ave, Suite 200, Miami, FL 33126-3275 | 2009-02-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | LIFESTREAM, INC. | 3306 Virginia Ave, Colorado Springs, CO 80907 |
| Street Address |
2471 NW 72ND AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33122-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215451323 | Corpo Therapy Inc | Registered Nurse | 7500 Nw 25 St Suite 202, Miami, FL 33122 | 2017-07-31 |
| 1538605993 | Jany Rodriguez | Behavioral Analyst | 2500 Sw 79th Ave Suite 116, Doral, FL 33122 | 2017-01-10 |
| 1699120840 | Healthworks Med Group of Florida P A | Clinic/Center | 4450 Nw 22nd Street Building 3095, Concourse D/e, Md 3000, Miami, FL 33122 | 2016-04-25 |
| 1396171740 | Ileana Caridad Daumy | Pharmacist | 8250 Nw 27th Street #311, Miami, FL 33122 | 2013-09-17 |
| 1821343823 | Maria Alexandra Restrepo | Clinical Nurse Specialist | 8400 Sw 33st, Miami, FL 33122 | 2012-07-17 |
| 1093083941 | Amalia R Humeniuk | Pharmacist | 8250 Nw 27th St Ste 311, Doral, FL 33122 | 2011-12-07 |
| 1891096525 | Therapy Medical Center Inc | Clinic/Center | 2550 Nw 72th Ave #113, Miami, FL 33122 | 2010-11-11 |
| 1730412750 | Bruno Contro | Chiropractor | 8200 Nw 33rd St, Ste 407, Doral, FL 33122 | 2009-09-09 |
| 1629220397 | The American Green Cross, Inc | Secured Medical Transport (VAN) | 2500 Nw 79th Ave., Suite 232, Miami, FL 33122 | 2008-10-14 |
| 1275739567 | Family Care Center of North Miami | Clinic/Center | 7525 Nw 25th St, #203, Miami, FL 33122 | 2007-06-22 |
| Find all providers in zip 33122 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790011716 | Pulmonary Providers Rehab Inc. | Physiological Laboratory | 1352 Sw 75th Ave, Miami, FL 33144-4422 | 2009-10-26 |
| 1174600076 | P & V Medical Diagnostic Inc | Physiological Laboratory | 14833 Sw 80th St, Suite 101, Miami, FL 33193-1541 | 2006-11-01 |
| 1548344732 | Lung Care Corp | Physiological Laboratory | 8900 Sw 24th St Ste 101, Miami, FL 33165-2075 | 2006-10-24 |
| 1952339608 | Md Diagnostic Lab Inc | Physiological Laboratory | 7229a Coral Way, Miami, FL 33155-1401 | 2006-06-30 |
| 1982656070 | Coast To Coast Diagnostic Inc | Physiological Laboratory | 138 Beacom Blvd, Miami, FL 33135-1534 | 2006-05-17 |
| 1649252578 | Digital Medical Diagnostics Inc | Physiological Laboratory | 41 Tamiami Canal Rd, Miami, FL 33144-2538 | 2005-11-16 |
| 1174526420 | Allied Mobile X-ray Inc | Physiological Laboratory | 8360 W Flagler St, Ste 207, Miami, FL 33144-2042 | 2005-05-31 |
| 1427445345 | Soteria Medical, LLC | Physiological Laboratory | 9150 Sw 87th Ave, Suite 213, Miami, FL 33176-2319 | 2015-04-17 |
| 1558606525 | Digital Medical Diagnostics Inc | Physiological Laboratory | 41 Tamiami Canal Rd, Miami, FL 33144-2538 | 2012-12-03 |
| 1104190149 | Mri Express Corp | Physiological Laboratory | 6095 Nw 72nd Ave, Miami, FL 33166-3737 | 2012-03-07 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.