LIFELINE CONCORD LLC
NPI 1205346319
Ambulance in Lincoln Park, MI

Active since October 03, 2017CLIA 23D2139169 · Waiver
1340 JOHN A PAPALAS DR, LINCOLN PARK, MI 48146(313) 386-9400 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 13, 2022, Jun 16, 2018 (2 updates tracked since 2018).

About Lifeline Concord Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFELINE CONCORD LLC (NPI 1205346319) is a healthcare organization registered as an ambulance in Lincoln Park, Michigan and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through October 30, 2027, maintains a secondary practice location in Troy, and lists John J Herlihy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205346319
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameLIFELINE CONCORD LLC
Location Address1340 JOHN A PAPALAS DRLincoln Park, MI 48146-1356
Mailing Address3737 Chase AveSkokie, IL 60076-4008 · (847) 933-9348 · Fax (847) 933-9319
Organization SubpartNo
Authorized OfficialJohn J HerlihyCeo · (847) 933-9348
Enumeration DateOctober 3, 2017
Last NPPES UpdateJanuary 13, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2022
NPI 1205346319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
1340 JOHN A PAPALAS DR, Lincoln Park, MI 48146

Secondary Practice Location 1

Location 11409 Allen Dr Ste CTroy, MI 48083-4003 · Phone (847) 933-9348

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2139169

Lifeline Concord LLC · Lincoln Park, MI
Active · expires Oct 30, 2027
CLIA Number23D2139169
Laboratory TypeAmbulance
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorAaron D. Carignan
Laboratory Phone(313) 384-9400
Laboratory LocationLifeline Concord LLC1340 John A Papalas Drive, Lincoln Park, MI 48146
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
25,190 services2,018 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
2,357 services1,011 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
880 services687 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
634 services468 patients
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426
Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.
101 services92 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ambulance (Land Transport)
1340 JOHN A PAPALAS DR
LINCOLN PARK, MI 48146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifeline Concord LLC's NPI number?

The NPI number for Lifeline Concord LLC is 1205346319. It was assigned to this organization in the NPPES registry on October 3, 2017.

Where is Lifeline Concord LLC located?

Lifeline Concord LLC is located at 1340 John A Papalas Dr, Lincoln Park, MI 48146. The listed phone number is (313) 386-9400.

What is Lifeline Concord LLC's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Lifeline Concord LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2139169) is associated with this NPI, valid through October 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lifeline Concord LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lifeline Concord LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifeline Concord LLC was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.