Life-Like Laboratory Llc in Carrollton - Prosthetic/orthotic Supplier
Life-Like Laboratory Llc - NPI 1114996832
Life-Like Laboratory Llc is a Prosthetic/orthotic Supplier in Carrollton, Texas. Life-Like Laboratory Llc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Life-Like Laboratory Llc is 1114996832. The last update date is 2022-06-09.
Life-Like Laboratory Llc's current location address is 1548 Valwood Pkwy Ste 108, Carrollton, Texas. You can contact this provider via phone number 9726200203 and fax number 9726200204. The mailing address for Life-Like Laboratory Llc is 1548 Valwood Pkwy Ste 108, Carrollton, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Life-Like Laboratory Llc |
|---|---|
| Address | 1548 Valwood Pkwy Ste 108, Carrollton, Texas |
| Phone Number | 9726200203 |
| Fax Number | 9726200204 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Fancher Crystal |
| Telephone Number | 9726200203 |
NPI Number Detail
| NPI Number | 1114996832 |
|---|---|
| Provider Enumeration Date | 2006-03-15 |
| Last Updated Date | 2022-06-09 |
Provider Mailing Address Detail
| Address | 1548 Valwood Pkwy Ste 108 |
|---|---|
| City | Carrollton |
| State | Texas (TX) |
| Post Code | 750066859 |
| Phone Number | 9726200203 |
| Fax Number | 9726200204 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 507603 | TX | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Life-Like Laboratory Llc by the Centers for Medicare & Medicaid Services?
The Life-Like Laboratory Llc has been issued the NPI (National Provider Identifier) 1114996832, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Life-Like Laboratory Llc?
The Life-Like Laboratory Llc is situated at 1548 Valwood Pkwy Ste 108, in the city of Carrollton, state of TX, with the zip code 750066859.
What is the Life-Like Laboratory Llc's area of specialization and corresponding taxonomy classification?
The Life-Like Laboratory Llc's specialty field is Prosthetic/orthotic Supplier, and it falls under the taxonomy code 335E00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114996832 to Life-Like Laboratory Llc?
The Centers for Medicare & Medicaid Services originally issued the 1114996832 to Life-Like Laboratory Llc on 2006-03-15.
As of what date was the information pertaining to Life-Like Laboratory Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Life-Like Laboratory Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-06-09.