Provider Demographics
NPI:1275000648
Name:SADME, LLC
Entity Type:Organization
Organization Name:SADME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSEL
Authorized Official - Prefix:MR
Authorized Official - First Name:LIZETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORIN
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:210-598-2801
Mailing Address - Street 1:10730 POTRANCO RD
Mailing Address - Street 2:STE 122 # 158
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-3330
Mailing Address - Country:US
Mailing Address - Phone:210-750-3428
Mailing Address - Fax:
Practice Address - Street 1:3619 PAESANOS PKWY STE 302
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78231-1259
Practice Address - Country:US
Practice Address - Phone:210-750-3428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-24
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies