Lifestream Health Center

LBN: Lifestream Health Center
Lifestream Health Center is an health care organization with primary practice located at 4000 Mitchellville Rd Suite B322, Bowie MD 20716-3104. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Lifestream Health Center can be contacted via phone (301) 860-0305, or through Merritt, Sarah A via phone (301) 860-0305.

Contact Information

Primary practice address
4000 Mitchellville Rd Suite B322 Bowie MD 20716-3104
Phone: (301) 860-0305
Fax: (301) 860-0307
Website:
Map and Directions
Authorized official contact:
Name: Merritt, Sarah A Doctor of Medicine (MD)
Phone: (301) 860-0305

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 090266 Maryland

Profile Details

NPI number 1073059515
LBN Legal business name Lifestream Health Center
DBA Doing business as
Authorized official Merritt, Sarah A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2017
Last updated Jun 4th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073059515 NPPES
Maryland MEDICAID 525405100

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