Lifestyle Medical, Llc
LBN: Lifestyle Medical, Llc
Lifestyle Medical, Llc is an health care organization with primary practice located at 2205 W Beauregard Ave , San Angelo TX 76901-3701. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Oxygen Equipment & Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Lifestyle Medical, Llc can be contacted via phone (325) 617-2181, or through Engle, Darrel L via phone (325) 617-2181.
Contact Information
Primary practice address
2205 W Beauregard Ave
San Angelo TX 76901-3701
Phone: (325) 617-2181
Fax: (325) 617-2479
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Customized Equipment | 332BC3200X | ||
Suppliers / Oxygen Equipment & Supplies | 332BX2000X |
Profile Details
NPI number | 1609054501 |
---|---|
LBN Legal business name | Lifestyle Medical, Llc |
DBA Doing business as | |
Authorized official | Engle, Darrel L |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 4th, 2008 |
Last updated | Oct 27th, 2010 - about 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609054501 | NPPES |
Texas | Other | 532817 | BC/BS |
Texas | MEDICAID | 1954927 | BC/BS |
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