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LIFE CONNECT FOUNDATION INC
NPI 1881207900
Clinic/Center in Lauderdale Lakes, FL

Active since August 28, 2020CLIA 10D2207315 · Waiver
3001 NW 49TH AVE STE 308, LAUDERDALE LAKES, FL 33313(954) 391-7319 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2023, Aug 28, 2020 (2 updates tracked since 2020).

About Life Connect Foundation Inc NPPES

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

LIFE CONNECT FOUNDATION INC (NPI 1881207900) is a healthcare organization registered as a clinic/center in Lauderdale Lakes, Florida and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through December 27, 2026 and lists Macdaline Sanz, President, as its authorized official.

NPPES Registry Identity

NPI1881207900
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLIFE CONNECT FOUNDATION INC
Location Address3001 NW 49TH AVE STE 308Lauderdale Lakes, FL 33313-7263
Mailing Address3001 Nw 49th Ave Ste 308Lauderdale Lakes, FL 33313-7263 · (954) 391-7319
Phone(954) 391-7319
Organization SubpartNo
Authorized OfficialMacdaline SanzPresident · (954) 391-7319
Enumeration DateAugust 28, 2020
Last NPPES UpdateAugust 21, 20232 updates tracked since enumeration
NPPES CertifiedAugust 21, 2023
✔ NPI 1881207900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedInternal MedicineTaxonomy 207R00000X
3001 NW 49TH AVE STE 308, Lauderdale Lakes, FL 33313
Open in Google Maps ↗

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

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 10D2207315

Life Connect Foundation Inc · Lauderdale Lakes, FL
Active · expires Dec 27, 2026
CLIA Number10D2207315
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 28, 2024
Certificate Expiration DateDecember 27, 2026
Laboratory DirectorKumar Rajagopalan
Laboratory Phone(954) 297-6694
Laboratory LocationLife Connect Foundation Inc3001 NW 49th Ave Suite 308, Lauderdale Lakes, FL 33313
CLIA data matches this NPI record on: Address Name
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.

ANGIEK LLC
Internal Medicine (Pulmonary Disease)
3001 NW 49TH AVE STE 308
LAUDERDALE LAKES, FL 33313
Broward County (954) 297-6694

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 Life Connect Foundation Inc's NPI number?

The NPI number for Life Connect Foundation Inc is 1881207900. It was assigned to this organization in the NPPES registry on August 28, 2020.

Where is Life Connect Foundation Inc located?

Life Connect Foundation Inc is located at 3001 NW 49th Ave Ste 308, Lauderdale Lakes, FL 33313. The listed phone number is (954) 391-7319.

What is Life Connect Foundation Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Life Connect Foundation Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2207315) is associated with this NPI, valid through December 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Life Connect Foundation Inc was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.