Organization
LIFE MEDICAL, P.A.
Active
Organization
LIFE MEDICAL, P.A.
Active
Other names
Life Medical
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB I MIRMAN MD (MANAGING PARTNER)
(952) 933-8900
Entity
Organization
Contact information
Practice address
4201 EXCELSIOR BLVD, SAINT LOUIS PARK, MN 55416-4728
(952) 933-1121
(952) 945-9536
Mailing address
4201 EXCELSIOR BLVD, SAINT LOUIS PARK, MN 55416-4728
(952) 933-8900
(952) 945-9536
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
MN
Other
Enumeration date
06/10/2006
Last updated
09/18/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up