LS
LOGAN SURGICAL SUITES LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
LOGAN, UT
Licensed since
2018
Rate
—
Federal identifiers
NPI registry number1104301613
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients243
RevalidationDue 2026-01-31
Authorized official
NameMARIELLE WHITLOCK
TitleADMINISTRATOR
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