Provider Demographics
NPI:1992851117
Name:LIFESCAN, INC
Entity Type:Organization
Organization Name:LIFESCAN, INC
Other - Org Name:HEALTHCHECKUSA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:BIGLER
Authorized Official - Last Name:VAUGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:210-829-1159
Mailing Address - Street 1:8700 CROWNHILL BLVD
Mailing Address - Street 2:110
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-1136
Mailing Address - Country:US
Mailing Address - Phone:210-829-1159
Mailing Address - Fax:210-829-4835
Practice Address - Street 1:8700 CROWNHILL BLVD
Practice Address - Street 2:110
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-1136
Practice Address - Country:US
Practice Address - Phone:210-829-1159
Practice Address - Fax:210-829-4835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory