Healthcare Provider Details

I. General information

NPI: 1033387873
Provider Name (Legal Business Name): SDM INVESTMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2008
Last Update Date: 07/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8801 W 75TH ST
OVERLAND PARK KS
66204-2206
US

IV. Provider business mailing address

8801 W 75TH ST
OVERLAND PARK KS
66204-2206
US

V. Phone/Fax

Practice location:
  • Phone: 913-383-3456
  • Fax: 913-383-3797
Mailing address:
  • Phone: 913-383-3456
  • Fax: 913-383-3797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number16-00069
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number16-00069
License Number StateKS

VIII. Authorized Official

Name: STEVE R ZUENDEL
Title or Position: MANAGING PARTNER
Credential:
Phone: 913-383-3456