Lifestream Medical

LBN: Lifestream Medical
Lifestream Medical is an health care organization with primary practice located at 55 Buck Rd Ste 8 , Huntingdon Valley PA 19006-1501. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Lifestream Medical can be contacted via phone (215) 357-2303, or through Melekos, Demitrios via phone (215) 357-2303.

Contact Information

Primary practice address
55 Buck Rd Ste 8 Huntingdon Valley PA 19006-1501
Phone: (215) 357-2303
Fax: (215) 357-2305
Website:
Map and Directions
Authorized official contact:
Name: Melekos, Demitrios
Phone: (215) 357-2303

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP481392 Pennsylvania

Profile Details

NPI number 1710922240
LBN Legal business name Lifestream Medical
DBA Doing business as
Authorized official Melekos, Demitrios
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Jul 20th, 2007 - about 17 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 1710922240 NPPES
Other 3983586 OTHER ID NUMBER
Other 3983586 OTHER ID NUMBER
MEDICAID 1011142410001 OTHER ID NUMBER

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