Provider Demographics
NPI:1437386935
Name:LEVERDRIVE INCORPORATED
Entity Type:Organization
Organization Name:LEVERDRIVE INCORPORATED
Other - Org Name:LEVERDRIVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:CONNELLY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:949-633-8606
Mailing Address - Street 1:5324 E 18TH ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-4434
Mailing Address - Country:US
Mailing Address - Phone:949-633-8606
Mailing Address - Fax:
Practice Address - Street 1:5324 E 18TH ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-4434
Practice Address - Country:US
Practice Address - Phone:949-633-8606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-11
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment