Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Line Surgical Services LLC

Organization Surgery Physician · NPI 1851629356

Life Line Surgical Services LLC is a Surgery Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2009.

Licensed in
MO
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10004 Kennerly Rd Ste 330-A
Saint Louis, MO 63128-2141
Phone: (314) 718-9947
Fax: (314) 718-9947
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 33400 (MO)

Record details

NPI number1851629356
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Della Aridge — Nurse/Manager · (314) 591-1125
NPI enumeratedNovember 23, 2009
Last updated in NPPESFebruary 7, 2023
Certification dateFebruary 7, 2023
Mailing address10004 Kennerly Rd, Suite 330-A, Saint Louis, MO 63128-2141

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