Organization
LIFELINE DIAGNOSTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIKKI KAY STANSBERRY CRT (PRESIDENT)
(800) 610-2203
Entity
Organization
Contact information
Practice address
4320 LYNN BURKE RD, MONROVIA, MD 21770-9231
(800) 610-2203
(800) 610-2204
Mailing address
4320 LYNN BURKE RD, MONROVIA, MD 21770-9231
(800) 610-2203
(800) 610-2204
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
L003371
MD
Other
Enumeration date
05/20/2006
Last updated
08/22/2020
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