Provider Demographics
NPI:1700203163
Name:LIFEWATCH, INC
Entity Type:Organization
Organization Name:LIFEWATCH, INC
Other - Org Name:LIFEWATCH USA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIRLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-716-1433
Mailing Address - Street 1:266 MERRICK RD
Mailing Address - Street 2:SUITE #104
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-2640
Mailing Address - Country:US
Mailing Address - Phone:800-716-1433
Mailing Address - Fax:866-339-9120
Practice Address - Street 1:266 MERRICK RD
Practice Address - Street 2:SUITE #104
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-2640
Practice Address - Country:US
Practice Address - Phone:800-716-1433
Practice Address - Fax:866-339-9120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-24
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies