Provider Demographics
NPI:1124317011
Name:LIFE RESPONSE INCORPORATION
Entity type:Organization
Organization Name:LIFE RESPONSE INCORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NEMROD
Authorized Official - Middle Name:MADIAM
Authorized Official - Last Name:CABADING
Authorized Official - Suffix:
Authorized Official - Credentials:EMS
Authorized Official - Phone:713-459-6620
Mailing Address - Street 1:2622 LAKEFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2033
Mailing Address - Country:US
Mailing Address - Phone:713-459-6620
Mailing Address - Fax:281-903-7750
Practice Address - Street 1:2622 LAKEFIELD WAY
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2033
Practice Address - Country:US
Practice Address - Phone:713-459-6620
Practice Address - Fax:281-903-7750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10005763416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport