Organization
LIFELINE MEDICAL TESTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIEGO DIAZ MD (MEDICAL DIRECTOR/CEO)
(917) 678-8400
Entity
Organization
Contact information
Practice address
1041 3RD AVE # 203, NEW YORK, NY 10065-8114
(212) 583-2969
Mailing address
40 ORMOND ST, DIX HILLS, NY 11746-6333
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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