Organization
LIFESTREAM, INC.
Active
Other names
Lifestream Mobile Diagnostic
Organization subpart
No
Provider details
NPI number
Authorized official
DOVI FAIVISH (PRESIDENT/OWNER)
(305) 264-2021
Entity
Organization
Contact information
Practice address
3350 SW 148TH AVE STE 202-B, MIRAMAR, FL 33027-3257
(305) 264-2021
(305) 265-0755
Mailing address
2471 NW 72ND AVE, MIAMI, FL 33122-1829
(305) 264-2021
(305) 265-0755
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
07/07/2006
Last updated
02/05/2025
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