Healthcare Provider Details

I. General information

NPI: 1649185943
Provider Name (Legal Business Name): LIFE IN 3D HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 AUSTINS PKWY STE 3
FLINT MI
48507-1344
US

IV. Provider business mailing address

2425 AUSTINS PKWY STE 3
FLINT MI
48507-1344
US

V. Phone/Fax

Practice location:
  • Phone: 810-780-4189
  • Fax: 810-285-8110
Mailing address:
  • Phone: 810-780-4189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QR1100X
TaxonomyResearch Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: DENIKA LEFLORA DALTON
Title or Position: CEO
Credential: NP
Phone: 810-780-4189