Provider Demographics
NPI:1528747938
Name:INFUSED THERAPIES, LLC
Entity type:Organization
Organization Name:INFUSED THERAPIES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:LOUVELLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:725-205-4558
Mailing Address - Street 1:9029 S PECOS RD STE 2700
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7198
Mailing Address - Country:US
Mailing Address - Phone:725-205-4558
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:9029 S PECOS RD STE 2700
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7198
Practice Address - Country:US
Practice Address - Phone:725-205-4558
Practice Address - Fax:000-000-0000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-13
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy