Logic LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

20156000150 Issued in CO

Legal business name

LOGIC LLC

Practice address

400 Indiana St Ste 320
Golden, CO 80401-5033

Phone

(720) 606-2884

Fax

(720) 606-2884

NPI assigned

Jan 26, 2015

Organization subpart

No

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

Authorized official

Name

Jon Tiede

Title

Director of Financial Services

Phone

(720) 600-2304

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1306236526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18818",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804026047",
            "telephone_number": "720-606-2884",
            "fax_number": "720-606-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 INDIANA ST STE 320",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015033",
            "telephone_number": "720-606-2884",
            "fax_number": "720-606-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "TIEDE",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCIAL SERVICES",
        "authorized_official_telephone_number": "720-600-2304"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": "20156000150",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Thomas Lizar, PT, DPT
• Mary Katherine Lizar, PT, DPT
• Renee Lockhart
• Christina Lockwitz, NP
• Sameer Jagan Lodha, MD
• Andrew Jacob Lohwater, MSW, LCSW
• Janele Kay Lomax, MA LMFT
• Jean Clara London, CMT
• Scott F. London, MD
• Sarah Elizabeth Long, PSYD, LCP

• Durable Medical Equipment & Medical Supplies in Golden, CO
• Providers in Golden, CO by specialty
• Durable Medical Equipment & Medical Supplies in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.