| Screening for Life LLC | |
|
6410 Buffalo Gap Rd #c Abilene TX 79606-6055 | |
| (325) 692-4410 | |
| Not Available |
| Full Name | Screening for Life LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 6410 Buffalo Gap Rd #c, Abilene, Texas |
| Authorized Official Name and Position | Etai Sooliman (CEO) |
| Authorized Official Contact | 2243371000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Screening for Life LLC 8235 Christiana Ave Skokie IL 60076-2910 Ph: (224) 337-1000 | Screening for Life LLC 6410 Buffalo Gap Rd #c Abilene TX 79606-6055 Ph: (325) 692-4410 |
| NPI Number | 1558614388 |
|---|---|
| Provider Enumeration Date | 10/17/2012 |
| Last Update Date | 08/13/2026 |
| Certification Date | 08/13/2026 |
| Medicare PECOS PAC ID | 7113170978 |
|---|---|
| Medicare Enrollment ID | O20130104000232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558614388 | NPI | - | NPPES |
| 262282 | Other | MEDICARE PTAN | |
| 0830DC | Other | TX | BLUE CROSS BLUE SHIELD |
| 316060801 | Medicaid | TX | |
| 316060802 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QR0208X | Clinic/center - Radiology, Mobile | () | Primary |
| 293D00000X | Physiological Laboratory | () | Secondary |
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