# LIFELINE IMAGING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043852338
- **Authorized official:** DEANNA ZAMORE (CEO)
- **Authorized official phone:** (917) 923-8484

## Contact information

- **Practice address:** 38 OPAL LN, STATEN ISLAND, NY 10309-2827
- **Practice address phone:** (917) 923-8484
- **Practice address fax:** (888) 510-9369
- **Mailing address:** PO BOX 90581, STATEN ISLAND, NY 10309-0581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/08/2019
- **Last updated:** 10/11/2020