Organization Active NPI

Logz'S LLC

  • Physiological Laboratory
  • Norwich, CT
National Provider Identifier
1376836973
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
LOGZ'S LLC
Practice address
185 Broadway
Norwich, CT 06360-4407
Phone
(860) 965-4213
Fax
(888) 318-5670
NPI assigned
May 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Authorized official

Name
Mr. Mark G McKeever
Title
Member
Phone
(860) 965-4213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

185 Broadway
Norwich, CT 06360-4407

Mailing address

185 Broadway
Norwich, CT 06360-4407
Phone (860) 965-4213

National Provider Directory

National Provider Directory

Locations

39 New London Tpke
Ste 325
Glastonbury, CT 06033

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1376836973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 BROADWAY",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063604407",
            "telephone_number": "860-965-4213",
            "fax_number": "888-318-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 BROADWAY",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063604407",
            "telephone_number": "860-965-4213",
            "fax_number": "888-318-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGZ'S LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "MCKEEVER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-965-4213",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.