Provider Demographics
NPI:1922862101
Name:ZIDA LLC
Entity Type:Organization
Organization Name:ZIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:OPPENHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-466-0259
Mailing Address - Street 1:7420 HERITAGE VILLAGE PLZ UNIT 101
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-3302
Mailing Address - Country:US
Mailing Address - Phone:877-203-1580
Mailing Address - Fax:
Practice Address - Street 1:7420 HERITAGE VILLAGE PLZ UNIT 101
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-3302
Practice Address - Country:US
Practice Address - Phone:877-203-1580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies