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LIFELINE MEDICAL GROUP PC
NPI 1316829674
Internal Medicine - Cardiovascular Disease in Waterford, MI

Active since July 25, 2025CLIA 23D2336465 · Waiver
3901 HIGHLAND RD STE G, WATERFORD, MI 48328(248) 321-3121(248) 692-0333 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2026, Dec 18, 2025, Dec 12, 2025 and 1 more (4 updates tracked since 2025).

About Lifeline Medical Group Pc NPPES

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

LIFELINE MEDICAL GROUP PC (NPI 1316829674) is a healthcare organization registered as a cardiovascular disease in Waterford, Michigan and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through January 4, 2028 and lists Navneet Kumar, Authorized Officer, as its authorized official.

NPPES Registry Identity

NPI1316829674
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameLIFELINE MEDICAL GROUP PC
Location Address3901 HIGHLAND RD STE GWaterford, MI 48328-2162
Mailing Address3901 Highland Rd Ste GWaterford, MI 48328-2162 · (248) 321-3121 · Fax (248) 692-0333
Phone(248) 321-3121
Fax(248) 692-0333
Organization SubpartNo
Authorized OfficialNavneet KumarAuthorized Officer · (248) 321-3121
Enumeration DateJuly 25, 2025
Last NPPES UpdateMay 8, 20264 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
✔ NPI 1316829674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X
3901 HIGHLAND RD STE G, Waterford, MI 48328
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Other Identifiers 1

Other4301096048MI · State License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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 23D2336465

Lifeline Medical Group, PC · Waterford, MI
Active · expires Jan 4, 2028
CLIA Number23D2336465
Laboratory TypePhysician Office
Certificate Effective DateJanuary 5, 2026
Certificate Expiration DateJanuary 4, 2028
Laboratory DirectorNavneet Kumar
Laboratory Phone(248) 321-3121
Laboratory LocationLifeline Medical Group, PC3901 Highland Road Suite A, Waterford, MI 48328
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Group PC's NPI number?

The NPI number for Lifeline Medical Group PC is 1316829674. It was assigned to this organization in the NPPES registry on July 25, 2025.

Where is Lifeline Medical Group PC located?

Lifeline Medical Group PC is located at 3901 Highland Rd Ste G, Waterford, MI 48328. The listed phone number is (248) 321-3121.

What is Lifeline Medical Group PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Lifeline Medical Group PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2336465) is associated with this NPI, valid through January 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lifeline Medical Group PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lifeline Medical Group PC 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 Medical Group PC was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.