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LIFELINE PPE
NPI 1912738436
Physiological Laboratory in North Port, FL

Active since August 08, 2024CLIA 10D2330491 · Waiver
3866 JULNAR AVE, NORTH PORT, FL 34286(800) 940-0661 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2024, Aug 16, 2024, Aug 8, 2024 (3 updates tracked since 2024).

About Lifeline Ppe NPPES

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

LIFELINE PPE (NPI 1912738436) is a healthcare organization registered as a physiological laboratory in North Port, Florida and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through September 16, 2027 and lists Michael Borza, Owner/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1912738436
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameLIFELINE PPE
Location Address3866 JULNAR AVENorth Port, FL 34286
Mailing Address1181 S Sumter Blvd Ste 317North Port, FL 34287-2335 · (800) 940-0661
Phone(800) 940-0661
Organization SubpartNo
Authorized OfficialMichael BorzaOwner/authorized Official · (800) 940-0661
Enumeration DateAugust 8, 2024
Last NPPES UpdateDecember 6, 20243 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
✔ NPI 1912738436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
3866 JULNAR AVE, North Port, FL 34286
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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 10D2330491

Lifeline Ppe LLC · North Port, FL
Active · expires Sep 16, 2027
CLIA Number10D2330491
Laboratory TypeMobile Laboratory
Certificate Effective DateSeptember 17, 2025
Certificate Expiration DateSeptember 16, 2027
Laboratory DirectorMichael Borza
Laboratory Phone(800) 940-0661
Laboratory LocationLifeline Ppe LLC3866 Julnar Ave, North Port, FL 34286
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

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

MICHAEL BORZA
Physiological Laboratory
3866 JULNAR AVE
NORTH PORT, FL 34286
Sarasota County (800) 940-0661

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 Ppe's NPI number?

The NPI number for Lifeline Ppe is 1912738436. It was assigned to this organization in the NPPES registry on August 8, 2024.

Where is Lifeline Ppe located?

Lifeline Ppe is located at 3866 Julnar Ave, North Port, FL 34286. The listed phone number is (800) 940-0661.

What is Lifeline Ppe's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

Does Lifeline Ppe hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2330491) is associated with this NPI, valid through September 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifeline Ppe was last updated on December 6, 2024. 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.