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LIFESPAN MEDICAL SERVICES LLC
NPI 1427131382
Internal Medicine - Geriatric Medicine in Dover, DE

Active since October 23, 2006CLIA 08D1061979 · Waiver
1125 FORREST AVE, DOVER, DE 19904(302) 346-0100(302) 346-0103 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lifespan Medical Services Llc NPPES

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

LIFESPAN MEDICAL SERVICES LLC (NPI 1427131382) is a healthcare organization registered as a geriatric medicine in Dover, Delaware and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2027 and lists Harsha Tankala, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1427131382
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameLIFESPAN MEDICAL SERVICES LLC
Location Address1125 FORREST AVEDover, DE 19904-3483
Mailing Address1125 Forrest AveDover, DE 19904-3483 · (302) 346-0100 · Fax (302) 346-0103
Phone(302) 346-0100
Fax(302) 346-0103
Organization SubpartNo
Authorized OfficialHarsha TankalaOwner/president · (302) 678-0950
Enumeration DateOctober 23, 2006
Last NPPES UpdateJune 21, 2018
✔ NPI 1427131382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in DE · C1-0005962
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
1125 FORREST AVE, Dover, DE 19904
Open in Google Maps ↗

Other Identifiers 1

Medicaid1000041898DE

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.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 08D1061979

Lifespan Medical Services LLC · Dover, DE
Active · expires Apr 4, 2027
CLIA Number08D1061979
Laboratory TypePhysician Office
Certificate Effective DateApril 5, 2025
Certificate Expiration DateApril 4, 2027
Laboratory DirectorHarsha Tankala
Laboratory Phone(302) 346-0100
Laboratory LocationLifespan Medical Services LLC1125 Forrest Avenue Suite 203, Dover, DE 19904
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

JEREMY RIVADA PT
Physical Therapist
1125 FORREST AVE, SUITE 101
DOVER, DE 19904
Kent County (302) 735-4900
ANDREW ARTHUR TAN PT
Physical Therapist
1125 FORREST AVE, SUITE 3
DOVER, DE 19904
Kent County (302) 735-4900
DR. HARSHA TANKALA MD
Internal Medicine (Geriatric Medicine)
1125 FORREST AVE, SUITE 203
DOVER, DE 19904
Kent County (302) 346-0101
MR. WINSTON FOLKES JR. OTR
Occupational Therapist
1125 FORREST AVE
DOVER, DE 19904
Kent County (302) 735-4900
GENERATIONS HOME CARE INC
Home Health
1125 FORREST AVE, SUITE 201
DOVER, DE 19904
Kent County (302) 322-3100
GENERATIONS HOME CARE INC
Home Health
1125 FORREST AVE, SUITE 201
DOVER, DE 19904
Kent County (302) 734-7005
MODERN MATURITY CENTER
Clinic/Center (Adult Day Care)
1125 FORREST AVE
DOVER, DE 19904
Kent County (302) 734-1200
LENDIE MAY T PARADELA
Physical Therapist
1125 FORREST AVE, 101
DOVER, DE 19904
Kent County (302) 735-4900

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 Lifespan Medical Services LLC's NPI number?

The NPI number for Lifespan Medical Services LLC is 1427131382. It was assigned to this organization in the NPPES registry on October 23, 2006.

Where is Lifespan Medical Services LLC located?

Lifespan Medical Services LLC is located at 1125 Forrest Ave, Dover, DE 19904. The listed phone number is (302) 346-0100.

What is Lifespan Medical Services LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Does Lifespan Medical Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 08D1061979) is associated with this NPI, valid through April 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lifespan Medical Services LLC accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Lifespan Medical Services 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 Lifespan Medical Services LLC was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.