Provider Demographics
NPI:1316817448
Name:LIFELINE MEDICAL CENTER, LLC
Entity type:Organization
Organization Name:LIFELINE MEDICAL CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AO
Authorized Official - Prefix:DR
Authorized Official - First Name:SAFIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PIRANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-545-8332
Mailing Address - Street 1:6328 OAKWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-1639
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6328 OAKWOOD CIR
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-1639
Practice Address - Country:US
Practice Address - Phone:770-545-8332
Practice Address - Fax:678-868-1100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-05
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty