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LIFEGUARD AMBULANCE SERVICE OF FLORIDA, LLC
NPI 1972657914
Ambulance - Land Transport in Milton, FL

Active since January 23, 2007CLIA Certified · 11 labs
4340 AVALON BLVD, MILTON, FL 32583(850) 983-3000 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 25, 2024, Apr 16, 2021, Jun 10, 2020 and 4 more (7 updates tracked since 2015).

About Lifeguard Ambulance Service Of Florida, Llc NPPES

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

LIFEGUARD AMBULANCE SERVICE OF FLORIDA, LLC (NPI 1972657914) is a healthcare organization registered as a land transport in Milton, Florida and active in the NPI registry since January 2007. The organization holds 11 active CLIA laboratory certificates and lists Timothy Joseph Dorn, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1972657914
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameLIFEGUARD AMBULANCE SERVICE OF FLORIDA, LLC
Location Address4340 AVALON BLVDMilton, FL 32583-2858
Mailing AddressPo Box 402079Atlanta, GA 30384-2079 · (800) 913-9106
Phone(850) 983-3000
Organization SubpartYes
Authorized OfficialTimothy Joseph DornChief Administrative Officer · (833) 703-2294
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJune 25, 20247 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1972657914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
Also ListedAmbulanceTaxonomy 341600000X
4340 AVALON BLVD, Milton, FL 32583
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CLIA Laboratory Certificates CMS CLIA 11

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 10D2126105

Lifeguard Ambulance Service LLC - Santa Rosa Count · Milton, FL
Active · expires Feb 20, 2027
CLIA Number10D2126105
Laboratory TypeAmbulance
Certificate Effective DateFebruary 21, 2025
Certificate Expiration DateFebruary 20, 2027
Laboratory DirectorDr. Kim Landry
Laboratory Phone(850) 983-3000
Laboratory LocationLifeguard Ambulance Service LLC - Santa Rosa Count4340 Avalon Blvd Attn Loreli Anzaidua, Milton, FL 32583
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2149746

Lifeguard Ambulance Service, LLC · North Charleston, SC
Active · expires Jun 10, 2028
CLIA Number42D2149746
Laboratory TypeAmbulance
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorDr. Kim Landry
Laboratory Phone(850) 983-3000
Laboratory LocationLifeguard Ambulance Service, LLC3111 Meeting Street Road - Unit A, North Charleston, SC 29405
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2128189

Lifeguard Ambulance Service LLC · Purvis, MS
Active · expires Mar 26, 2027
CLIA Number25D2128189
Laboratory TypeAmbulance
Certificate Effective DateMarch 27, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorRobert B. Sims
Laboratory Phone(850) 983-3000
Laboratory LocationLifeguard Ambulance Service LLC630 Purvis Oloh Rd Attn Dwayne Tullos, Purvis, MS 39475
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 01D2232688

Lifeguard Ambulance Service, LLC - Atmore · Atmore, AL
Active · expires Aug 16, 2027
CLIA Number01D2232688
Laboratory TypeAmbulance
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorDr. Kim Landry
Laboratory Phone(850) 983-3000
Laboratory LocationLifeguard Ambulance Service, LLC - Atmore601 South Pensacola Ave, Attn Mike Sandel, Atmore, AL 36502
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2166441

Lifeguard Ambulance Service LLC (chesterfield) · Chesterfield, SC
Active · expires May 16, 2027
CLIA Number42D2166441
Laboratory TypeAmbulance
Certificate Effective DateMay 17, 2025
Certificate Expiration DateMay 16, 2027
Laboratory DirectorKeith Snipes
Laboratory Phone(850) 983-3000
Laboratory LocationLifeguard Ambulance Service LLC (chesterfield)1200 West Main Street, Chesterfield, SC 29709
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 01D2127114

Lifeguard Ambulance Service LLC - Morgan County · Hartselle, AL
Active · expires Mar 8, 2027
CLIA Number01D2127114
Laboratory TypeAmbulance
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorDr. Kim Landry
Laboratory Phone(850) 983-3000
Laboratory LocationLifeguard Ambulance Service LLC - Morgan County109 College St NW Attn Tyler Stinson, Hartselle, AL 35640
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
90,507 services4,531 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
3,983 services2,672 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
1,929 services1,500 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
1,107 services889 patients
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426
Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.
410 services396 patients
Advanced life support, level 2 (als 2) A0433
Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.
72 services72 patients

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 Lifeguard Ambulance Service Of Florida, LLC's NPI number?

The NPI number for Lifeguard Ambulance Service Of Florida, LLC is 1972657914. It was assigned to this organization in the NPPES registry on January 23, 2007.

Where is Lifeguard Ambulance Service Of Florida, LLC located?

Lifeguard Ambulance Service Of Florida, LLC is located at 4340 Avalon Blvd, Milton, FL 32583. The listed phone number is (850) 983-3000.

What is Lifeguard Ambulance Service Of Florida, LLC's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Lifeguard Ambulance Service Of Florida, LLC hold CLIA laboratory certificates?

Yes. 11 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Lifeguard Ambulance Service Of Florida, LLC was last updated on June 25, 2024. 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.