Provider Demographics
NPI:1386229938
Name:LIVE BEYOND MEDICAL MGMT LLC
Entity Type:Organization
Organization Name:LIVE BEYOND MEDICAL MGMT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:SUE
Authorized Official - Middle Name:D
Authorized Official - Last Name:KINCER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-928-7939
Mailing Address - Street 1:15071 S STATE ROAD 7 STE 300
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-4107
Mailing Address - Country:US
Mailing Address - Phone:561-264-3286
Mailing Address - Fax:561-264-3156
Practice Address - Street 1:15071 S STATE ROAD 7 STE 300
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-4107
Practice Address - Country:US
Practice Address - Phone:561-264-3286
Practice Address - Fax:561-264-3156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-16
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory