# LIFESTREAM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LIFESTREAM DIAGNOSTIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689811903
- **Authorized official:** MRS. ANGELA H SANCHEZ (PRESIDENT)
- **Authorized official phone:** (305) 264-2021

## Contact information

- **Practice address:** 701 NW 57 AVE, SUITE 200, MIAMI, FL 33126
- **Practice address phone:** (305) 264-2021
- **Practice address fax:** (305) 265-0755
- **Mailing address:** 701 NW 57 AVE, SUITE 200, MIAMI, FL 33126
- **Mailing address phone:** (305) 264-2021
- **Mailing address fax:** (305) 265-0755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 01/08/2009
- **Last updated:** 01/08/2009