Lifeline Mobile Medics
NPI #1497761886 in Bloomington, Illinois
Provider Information
- NPI Number
- 1497761886
- Entity Type
- Organization
- Organization Name
- Lifeline Mobile Medics
- Primary Specialty
- Ambulance
- Enumeration Date
- Jul 31, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 112 SOUTHGATE DR
- Address 2
- #B
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-7639
- Phone
- (309) 828-8572
Authorized Official
- Name
- KEITH RICHARD DUTTON
- Title
- CEO
- Phone
- (309) 828-8572
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance |
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