Organization
LIFELINE DIAGNOSTICS CO
Active
Other names
Lifeline Diagnostics Co
Organization subpart
No
Provider details
NPI number
Authorized official
MISS WILMALEAN MICHELLE BLACK (OWNER)
(504) 684-4279
Entity
Organization
Contact information
Practice address
2506 39TH ST APT 68, MERIDIAN, MS 39305-3887
(504) 684-4279
Mailing address
2506 39TH ST APT 68, MERIDIAN, MS 39305-3887
(504) 684-4279
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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