Precious Life Medical Services Llc

LBN: Precious Life Medical Services Llc
Precious Life Medical Services Llc is an health care organization with primary practice located at 1030 Saint Georges Ave Ste 200A , Avenel NJ 07001-1330. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Pain. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. Precious Life Medical Services Llc can be contacted via phone (732) 444-4646, or through Rana, Fardose via phone (732) 444-4646.

Contact Information

Primary practice address
1030 Saint Georges Ave Ste 200A Avenel NJ 07001-1330
Phone: (732) 444-4646
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rana, Fardose MSC, RDMS
Phone: (732) 444-4646

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Pain 261QP3300X

Profile Details

NPI number 1760058853
LBN Legal business name Precious Life Medical Services Llc
DBA Doing business as
Authorized official Rana, Fardose MSC, RDMS
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2021
Last updated Feb 1st, 2023 - about last year

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 1760058853 NPPES
New Jersey MEDICAID 0886432

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