Provider Demographics
NPI:1568222644
Name:VIDAS DME LLC
Entity Type:Organization
Organization Name:VIDAS DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAJID
Authorized Official - Middle Name:
Authorized Official - Last Name:NIAMAT
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:267-205-6949
Mailing Address - Street 1:261 POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:DEVON
Mailing Address - State:PA
Mailing Address - Zip Code:19333-1347
Mailing Address - Country:US
Mailing Address - Phone:267-205-6949
Mailing Address - Fax:
Practice Address - Street 1:261 POPLAR AVE
Practice Address - Street 2:
Practice Address - City:DEVON
Practice Address - State:PA
Practice Address - Zip Code:19333-1347
Practice Address - Country:US
Practice Address - Phone:267-205-6949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies