Provider Demographics
NPI:1154801546
Name:INFUSION CARE LLC
Entity type:Organization
Organization Name:INFUSION CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:GAMBIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-998-8842
Mailing Address - Street 1:8530 W SUNSET RD STE 330
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-2247
Mailing Address - Country:US
Mailing Address - Phone:702-998-8842
Mailing Address - Fax:702-998-4445
Practice Address - Street 1:8530 W SUNSET RD STE 330
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-2247
Practice Address - Country:US
Practice Address - Phone:702-998-8842
Practice Address - Fax:702-998-4445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-15
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV20181556968261Q00000X, 261Q00000X
261QI0500X, 261QI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion TherapyGroup - Single Specialty
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1548385594OtherNPI