Provider Demographics
NPI:1952157513
Name:SPIRE MED DME, INC.
Entity type:Organization
Organization Name:SPIRE MED DME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZAKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAIWANDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-381-5855
Mailing Address - Street 1:2133 LAS POSITAS CT STE H
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-9774
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2133 LAS POSITAS CT STE H
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-9774
Practice Address - Country:US
Practice Address - Phone:925-381-5855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies