IMMEDIA HEALTH LLC NPI 1528875069

NPI Information

  • NPI: 1528875069
  • Provider Name: IMMEDIA HEALTH LLC
  • Classification: Clinic/Center - 261QI0500X
  • Specialization: Infusion Therapy
  • Entity Type: Organization
  • :
  • Address: 612 S JONES BLVD STE 101
    LAS VEGAS, NV
    ZIP 89107
  • Phone: (865) 228-7873

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NPI Details

IMMEDIA HEALTH LLC is an infusion therapy clinic center in Las Vegas, NV. IMMEDIA HEALTH LLC NPI is 1528875069. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

612 S JONES BLVD STE 101
LAS VEGAS, NV
ZIP 89107-613
Phone: (865) 228-7873

The provider's authorized official is Sara A Olson .
The authorized official title is Manager and has the following contact phone number (865) 228-7873.

The enumeration date for this NPI number is 12/17/2024 and was last updated on 3/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseNo
2172V00000XCommunity Health WorkerNo
3251F00000XHome InfusionNo
4261Q00000XClinic/CenterNo
5261QI0500XClinic/CenterInfusion TherapyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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