LGM Distribution Corp.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LGM DISTRIBUTION CORP.

Practice address

2512 E Thomas Rd Ste 12
Phoenix, AZ 85016-7937

Phone

(480) 532-2035

NPI assigned

Oct 12, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Luke Miller

Title

President

Phone

(480) 532-2035

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1447761887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W ROSE LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850131432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 E THOMAS RD STE 12",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167937",
            "telephone_number": "480-532-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LGM DISTRIBUTION CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-532-2035",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Auden Leyva, LMT
• Betzanahy Leyva, DMD
• Destiny Leyva
• Susana M Leyva, PA-C
• Tiffanie P Leyvas, LPC
• Aaron Li, MD
• Angela Li
• Hong Li, NP
• Jacqueline Li
• Jing Li, PHARM.D.

• Durable Medical Equipment & Medical Supplies in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.