Provider Demographics
NPI:1144652512
Name:LAREDO LIFELINE, L.L.C.
Entity type:Organization
Organization Name:LAREDO LIFELINE, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ANGEL
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-723-5421
Mailing Address - Street 1:PO BOX 450529
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-0012
Mailing Address - Country:US
Mailing Address - Phone:956-898-1124
Mailing Address - Fax:
Practice Address - Street 1:2337 ENDEAVOR STE C
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-1972
Practice Address - Country:US
Practice Address - Phone:956-723-5421
Practice Address - Fax:956-602-0388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-07
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10009003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport