OrganizationActive
Life Imaging Inc
NPI 1316105414 · Physiological Laboratory · Miramar, FL
Provider details
- NPI number
- 1316105414
- Entity type
- Organization
- Primary specialty
- Physiological LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Winston Manga, Owner(305) 342-2222
- License
- HCC8179 (FL)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs 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
11988 Sw 31st Ct
Miramar, FL 33025-7806
Phone: (305) 342-2222
Fax: (866) 775-8455
Street-level locationGet directions
Mailing address
11988 Sw 31st Ct
Miramar, FL 33025-7806
Registry dates
- Enumerated
- 2008-05-27
- Last updated
- 2011-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.