NPI Details
LIFELINE MEDICAL LABORATORY INCORPORATED is a clinical medical laboratory in North Hollywood, CA. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. LIFELINE MEDICAL LABORATORY INCORPORATED NPI is 1083189088. The provider is registered as an organization entity type.
The provider's business location address is:
10509 BURBANK BLVD
NORTH HOLLYWOOD, CA
ZIP 91601-219
Phone: (818) 579-4220
Fax: (818) 301-1916
The provider's authorized official is Juan Robles .
The authorized official title is Owner and has the following contact phone number (818) 579-4220.
The CLIA number assigned to this NPI record is 05D1039663 - independent with a certificate type of Certificate of Compliance.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Identification of organisms by genetic analysis, amplified probe technique (HCPCS:87150)
- Detection test by nucleic acid for organism, amplified probe technique (HCPCS:87798)
- Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets (HCPCS:87631)
- Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique (HCPCS:87486)
- Detection test by nucleic acid for legionella pneumophila (water borne bacteria), amplified probe technique (HCPCS:87541)
- Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique (HCPCS:87581)
- Detection test by nucleic acid for enterovirus (intestinal virus), amplified probe technique (HCPCS:87498)
- Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique (HCPCS:87640)
The enumeration date for this NPI number is 10/5/2018 and was last updated on 6/2/2019.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 291U00000X | Clinical Medical Laboratory | | | | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | CLF00333135 | OTHER | CALIFORNIA | CLINICAL LABORATORY LICENSE |
| 2 | O5D1039663 | OTHER | CALIFORNIA | CLIA |
