Lifestyle Medical Distributors LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LIFESTYLE MEDICAL DISTRIBUTORS LLC

Practice address

1484 N Main St
Logan, UT 84341-2224

Phone

(435) 265-0380

NPI assigned

Nov 8, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Zachary Christensen

Title

Owner/General Manager

Phone

(435) 452-2683

Specialties & licenses 1

Addresses

Other names 1

• HSA Depot Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1053076653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843230402",
            "telephone_number": "435-265-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 N MAIN ST",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412224",
            "telephone_number": "435-265-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE MEDICAL DISTRIBUTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER/GENERAL MANAGER",
        "authorized_official_telephone_number": "435-452-2683"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HSA Depot",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jesse T Li
• David Gordon Liddle, MD
• Evelyn Liebes
• Life Directions Coaching LLC
• Life Reframed LLC
• Mark Emmett Lindhardt, PHARMD
• Noah James Linford
• Sarah Liston, DO
• Lila Jaclyn Littledike, SLP
• Living Tree Medical Group

• Durable Medical Equipment & Medical Supplies in Logan, UT
• Providers in Logan, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.