Organization Active NPI

Logiq Health LLC

  • Health Service Clinic/Center
  • Longmont, CO
National Provider Identifier
1205428356
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
LOGIQ HEALTH LLC
Practice address
1751 Hover St # 66
Longmont, CO 80501-7181
Phone
(866) 253-9266
Fax
(866) 253-9266
NPI assigned
Feb 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Ryan Badon
Title
Ceo
Phone
(866) 253-9266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1751 Hover St # 66
Longmont, CO 80501-7181

Mailing address

1751 Hover St # 66
Longmont, CO 80501-7181
Phone (866) 253-9266

National Provider Directory

National Provider Directory

Locations

1751 Hover St
#66
Longmont, CO 80501
Phone (866) 253-9266

1751 Hover St
Ste B466
Longmont, CO 80501

1022 N Western Ave
Lake Forest, IL 60045
Phone (812) 259-4686

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1205428356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 HOVER ST # 66",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017181",
            "telephone_number": "866-253-9266",
            "fax_number": "866-253-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 HOVER ST # 66",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017181",
            "telephone_number": "866-253-9266",
            "fax_number": "866-253-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGIQ HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "BADON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-253-9266"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.