Provider Demographics
NPI:1982392577
Name:LIFEVIEW HEALTHCARE, LLC
Entity Type:Organization
Organization Name:LIFEVIEW HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CMO
Authorized Official - Prefix:
Authorized Official - First Name:MOHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOUNDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-881-0964
Mailing Address - Street 1:3200 W END AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1322
Mailing Address - Country:US
Mailing Address - Phone:615-522-5014
Mailing Address - Fax:
Practice Address - Street 1:710 NASHVILLE PIKE STE 103
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-4592
Practice Address - Country:US
Practice Address - Phone:615-522-5014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service