Organization
LIFELINE CENTERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAYNA SHIPLEY (BILLING)
(412) 351-6545
Entity
Organization
Contact information
Practice address
2030 ARDMORE BLVD, 251, PITTSBURGH, PA 15221-4652
(412) 351-6545
(412) 273-1958
Mailing address
1525 PARK MANOR BLVD STE 308, PITTSBURGH, PA 15205-4805
(412) 351-6545
(412) 351-6547
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117507
MEDICARE PTAN
PA
Enumeration date
07/27/2006
Last updated
05/27/2021
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