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Organization
LIFELINE DIAGNOSTICS CO
Active
Organization
LIFELINE DIAGNOSTICS CO
Active
Other names
Lifeline Diagnostics Co
Organization subpart
No
Provider details
NPI number
Authorized official
MISS WILMALEAN MICHELLE BLACK (OWNER)
(504) 684-4279
Entity
Organization
Contact information
Practice address
2506 39TH ST APT 68, MERIDIAN, MS 39305-3887
(504) 684-4279
Mailing address
2506 39TH ST APT 68, MERIDIAN, MS 39305-3887
(504) 684-4279
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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