Provider Demographics
NPI:1457894222
Name:INDEELIFT INC.
Entity Type:Organization
Organization Name:INDEELIFT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:925-519-0156
Mailing Address - Street 1:5143 TESLA RD
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-9619
Mailing Address - Country:US
Mailing Address - Phone:925-455-5438
Mailing Address - Fax:925-373-6646
Practice Address - Street 1:5143 TESLA RD
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-9619
Practice Address - Country:US
Practice Address - Phone:925-455-5438
Practice Address - Fax:925-373-6646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-29
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment