Provider Demographics
NPI:1861896797
Name:LIFELINK EMS, INC.
Entity type:Organization
Organization Name:LIFELINK EMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMINAT
Authorized Official - Middle Name:
Authorized Official - Last Name:BOSTANOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-355-9240
Mailing Address - Street 1:113 MCHENRY RD
Mailing Address - Street 2:#181
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-1796
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:113 MCHENRY RD
Practice Address - Street 2:#181
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-1796
Practice Address - Country:US
Practice Address - Phone:201-355-9240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-21
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport