Active NPI
Logz'S LLC
- Physiological Laboratory
- Norwich, CT
National Provider Identifier
1376836973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.