Organization Active NPI

Valere Medical Southwest LLC

  • Durable Medical Equipment & Medical Supplies
  • Oro Valley, AZ
National Provider Identifier
1386069193
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VALERE MEDICAL SOUTHWEST LLC
Practice address
11570 N Monika Leigh PL
Oro Valley, AZ 85737-7262
Phone
(312) 914-1303
Fax
(773) 360-7210
NPI assigned
Mar 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew Vidal, J.D.
Title
Managing Partner
Phone
(312) 914-1303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

11570 N Monika Leigh PL
Oro Valley, AZ 85737-7262

Mailing address

2014 W Augusta Blvd
Unit 1
Chicago, IL 60622-4946
Phone (773) 360-7475

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1386069193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 W AUGUSTA BLVD",
            "address_2": "UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224946",
            "telephone_number": "773-360-7475",
            "fax_number": "773-360-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11570 N MONIKA LEIGH PL",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857377262",
            "telephone_number": "312-914-1303",
            "fax_number": "773-360-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALERE MEDICAL SOUTHWEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "VIDAL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "312-914-1303",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.