Provider Demographics
NPI:1295015634
Name:HEALTHY LIFE SCREENING
Entity type:Organization
Organization Name:HEALTHY LIFE SCREENING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:EASTERLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-670-0200
Mailing Address - Street 1:61 N. CLEVELAND-MASSILLON RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-4557
Mailing Address - Country:US
Mailing Address - Phone:330-670-0200
Mailing Address - Fax:330-670-0397
Practice Address - Street 1:61 N. CLEVELAND-MASSILLON RD
Practice Address - Street 2:SUITE E
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333-4557
Practice Address - Country:US
Practice Address - Phone:330-670-0200
Practice Address - Fax:330-670-0397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Multi-Specialty