Organization Active NPI

Live Tula LLC

  • Durable Medical Equipment & Medical Supplies
  • Farmington, UT
National Provider Identifier
1083433684
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LIVE TULA LLC
Practice address
686 N Arbinger Way Ste 300
Farmington, UT 84025-3071
Phone
(855) 528-0773
NPI assigned
Oct 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Jeff Broadhead
Title
Ciso
Phone
(855) 528-0773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

686 N Arbinger Way Ste 300
Farmington, UT 84025-3071

Mailing address

686 N Arbinger Way Ste 300
Farmington, UT 84025-3071
Phone (855) 528-0773

National Provider Directory

National Provider Directory

Locations

686 N Arbinger Way
Ste 300
Farmington, UT 84025
Phone (855) 528-0773

NPI Registry JSON

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1083433684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 N ARBINGER WAY STE 300",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253071",
            "telephone_number": "855-528-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 N ARBINGER WAY STE 300",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253071",
            "telephone_number": "855-528-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE TULA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "BROADHEAD",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CISO",
        "authorized_official_telephone_number": "855-528-0773"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.