# LIFELINE DIAGNOSTICS, INC.

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

## Provider details

- **NPI number:** 1780638916
- **Authorized official:** MRS. VIKKI KAY STANSBERRY CRT (PRESIDENT)
- **Authorized official phone:** (800) 610-2203

## Contact information

- **Practice address:** 4320 LYNN BURKE RD, MONROVIA, MD 21770-9231
- **Practice address phone:** (800) 610-2203
- **Practice address fax:** (800) 610-2204
- **Mailing address:** 4320 LYNN BURKE RD, MONROVIA, MD 21770-9231
- **Mailing address phone:** (800) 610-2203
- **Mailing address fax:** (800) 610-2204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246Z00000X | Other Specialist/Technologist | L003371 | MD | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 08/22/2020