Organization Active NPI

LJ Medical

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
National Provider Identifier
1265837165
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
3033196 Issued in AZ
Legal business name
LJ MEDICAL
Practice address
2550 E Lind Rd
27
Tucson, AZ 85716-1538
Phone
(520) 979-1915
NPI assigned
Nov 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Mr. Lawrence Wesley Boatright Jr.
Title
Owner Ceo
Phone
(520) 979-1915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 3033196 AZ Primary

Addresses

Primary practice location

2550 E Lind Rd
27
Tucson, AZ 85716-1538

Mailing address

2550 E Lind Rd
27
Tucson, AZ 85716-1538
Phone (520) 979-1915

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1265837165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 E LIND RD",
            "address_2": "27",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161538",
            "telephone_number": "520-979-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 E LIND RD",
            "address_2": "27",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161538",
            "telephone_number": "520-979-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LJ MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "BOATRIGHT",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "520-979-1915",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "3033196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.