LIFELINE VASCULAR CENTER NICEVILLE LLC
NPI 1962849794
Radiology - Vascular & Interventional Radiology in Niceville, FL

Active since June 03, 2013
4585 E HIGHWAY 20 STE 125, NICEVILLE, FL 32578(850) 678-0184(850) 678-0155 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lifeline Vascular Center Niceville Llc NPPES

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

LIFELINE VASCULAR CENTER NICEVILLE LLC (NPI 1962849794) is a healthcare organization registered as a vascular & interventional radiology in Niceville, Florida and active in the NPI registry since June 2013. The organization lists Jason Lohmeyer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1962849794
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameLIFELINE VASCULAR CENTER NICEVILLE LLC
Location Address4585 E HIGHWAY 20 STE 125Niceville, FL 32578-7709
Mailing AddressPo Box 782282Philadelphia, PA 19178-2282 · (847) 388-2001 · Fax (847) 388-2020
Fax(850) 678-0155
Organization SubpartNo
Authorized OfficialJason LohmeyerCfo · (847) 949-3855
Enumeration DateJune 3, 2013
Last NPPES UpdateJune 30, 2021
NPPES CertifiedJune 30, 2021
NPI 1962849794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
4585 E HIGHWAY 20 STE 125, Niceville, FL 32578

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

Other Providers at the Same Location NPPES

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

Surgery (Vascular Surgery)
4585 E HIGHWAY 20 STE 125
NICEVILLE, FL 32578

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 Vascular Center Niceville LLC's NPI number?

The NPI number for Lifeline Vascular Center Niceville LLC is 1962849794. It was assigned to this organization in the NPPES registry on June 3, 2013.

Where is Lifeline Vascular Center Niceville LLC located?

Lifeline Vascular Center Niceville LLC is located at 4585 E Highway 20 Ste 125, Niceville, FL 32578. The listed phone number is (850) 678-0184.

What is Lifeline Vascular Center Niceville LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

What insurance does Lifeline Vascular Center Niceville LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lifeline Vascular Center Niceville 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 Lifeline Vascular Center Niceville LLC was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.