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LIFELINE MEDICAL CENTER, LLC
NPI 1295539112
Clinic/Center - Primary Care in Lilburn, GA

Active since April 01, 2025CLIA Certified · 2 labs
4158 STONE MOUNTAIN HWY STE B, LILBURN, GA 30047(770) 545-8332(770) 545-8334 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Lifeline Medical Center, Llc NPPES

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

LIFELINE MEDICAL CENTER, LLC (NPI 1295539112) is a healthcare organization registered as a primary care in Lilburn, Georgia and active in the NPI registry since April 2025. The organization holds 2 active CLIA laboratory certificates and lists Safia A Pirani, Owner, as its authorized official.

NPPES Registry Identity

NPI1295539112
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLIFELINE MEDICAL CENTER, LLC
Location Address4158 STONE MOUNTAIN HWY STE BLilburn, GA 30047-3338
Mailing Address4855 River Green Pkwy Ste 700Duluth, GA 30096-8337 · (770) 545-8332 · Fax (678) 868-1100
Phone(770) 545-8332
Fax(770) 545-8334
Organization SubpartNo
Authorized OfficialSafia A PiraniOwner · (770) 329-7650
Enumeration DateApril 1, 2025
NPPES CertifiedApril 1, 2025
✔ NPI 1295539112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4158 STONE MOUNTAIN HWY STE B, Lilburn, GA 30047
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CLIA Laboratory Certificates CMS CLIA 2

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 11D2333929

Lifeline Medical Center · Lilburn, GA
Active · expires Nov 12, 2027
CLIA Number11D2333929
Laboratory TypePhysician Office
Certificate Effective DateNovember 13, 2025
Certificate Expiration DateNovember 12, 2027
Laboratory DirectorSafia Pirani
Laboratory Phone(770) 545-8332
Laboratory LocationLifeline Medical Center4158 Stone Mountain Hwy, Suite B, Lilburn, GA 30047
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2335344

Lifeline Medical Center · Stone Mountain, GA
Active · expires Dec 9, 2027
CLIA Number11D2335344
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2025
Certificate Expiration DateDecember 9, 2027
Laboratory DirectorSafia Pirani
Laboratory Phone(770) 545-8332
Laboratory LocationLifeline Medical Center4190 Stone Mountain Highway, Suite A, Stone Mountain, GA 30083
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

HALIMA ALI BASHIR NP
Nurse Practitioner (Family)
4158 STONE MOUNTAIN HWY STE B
LILBURN, GA 30047
Gwinnett County (470) 668-5035

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 Medical Center, LLC's NPI number?

The NPI number for Lifeline Medical Center, LLC is 1295539112. It was assigned to this organization in the NPPES registry on April 1, 2025.

Where is Lifeline Medical Center, LLC located?

Lifeline Medical Center, LLC is located at 4158 Stone Mountain Hwy Ste B, Lilburn, GA 30047. The listed phone number is (770) 545-8332.

What is Lifeline Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Lifeline Medical Center, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Lifeline Medical Center, LLC was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.