Provider Demographics
NPI:1902944804
Name:IVX,INC
Entity type:Organization
Organization Name:IVX,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:L
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:205-758-9040
Mailing Address - Street 1:607 15TH ST E
Mailing Address - Street 2:SUITE E
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-3295
Mailing Address - Country:US
Mailing Address - Phone:205-758-9040
Mailing Address - Fax:205-758-9205
Practice Address - Street 1:607 15TH ST E
Practice Address - Street 2:SUITE E
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-3295
Practice Address - Country:US
Practice Address - Phone:205-758-9040
Practice Address - Fax:205-758-9205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL105470251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0124723OtherNABP
AL0491480001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER