Provider Demographics
NPI:1013008929
Name:LED SALES LLC
Entity Type:Organization
Organization Name:LED SALES LLC
Other - Org Name:LAZRPULSR SYSTEM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:GERALD
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:303-696-6532
Mailing Address - Street 1:1276 S CHAMBERS RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-4046
Mailing Address - Country:US
Mailing Address - Phone:303-696-6532
Mailing Address - Fax:303-696-7327
Practice Address - Street 1:1276 S CHAMBERS RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-4046
Practice Address - Country:US
Practice Address - Phone:303-696-6532
Practice Address - Fax:303-696-7327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4191233-0000332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies