Organization
PRIME LIFE LLC
Active
Other names
PRIME LIFE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
IHTESHAM KHAN (CEO)
(999) 999-9999
Entity
Organization
Contact information
Practice address
2209 KELTRIP CT, SILVER SPRING, MD 20906-1144
(999) 999-9999
Mailing address
2209 KELTRIP CT, SILVER SPRING, MD 20906-1144
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
01/29/2026
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