| Organization Name: | LIFEROCK MEDICAL LLC |
| NPI Number: | 1336561570 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUMEER TOTEJA (BILLING MANAGER) |
| Mailing Address: | 409 Minnisink Rd Suite 203 Totowa |
| State: | NJ US |
| Postal Code: | 075121846 |
| Phone Number: | 2012944791 |
| Fax Number: | 9732565034 |
| NPI Enumeration Date: | 01/07/2014 |
| NPI Last Update Date: | 01/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 100563 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |