Lifeline Tests Incorporated
NPI 1306645577 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Freeport, NY
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lifeline Tests Incorporated is a Pain Medicine (Physical Medicine & Rehabilitation) Physician organization in Freeport, NY (NPI 1306645577).
Provider details
- NPI number
- 1306645577
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jacob Peacock, Authorized Official(616) 894-1615
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-11
- Last updated
- 2025-03-11
- Certified
- 2025-03-11
Frequently asked questions
- What is Lifeline Tests Incorporated's NPI number?
- Lifeline Tests Incorporated's National Provider Identifier (NPI) is 1306645577, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifeline Tests Incorporated?
- Lifeline Tests Incorporated is classified in the NPPES registry as Pain Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Lifeline Tests Incorporated located?
- Lifeline Tests Incorporated's practice location on file with NPPES is 296 Atlantic Ave Ste a, Freeport, NY 11520-4243.
- What is Lifeline Tests Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Lifeline Tests Incorporated is (616) 894-1615.
- Does Lifeline Tests Incorporated accept Medicare?
- Lifeline Tests Incorporated is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lifeline Tests Incorporated?
- The authorized official listed on Lifeline Tests Incorporated's NPPES record is Jacob Peacock, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifeline Tests Incorporated's NPI active?
- Yes — Lifeline Tests Incorporated's NPI (1306645577) is active in the NPPES registry as of the last update on 2025-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.