MEDICAL INFUSION THERAPY OF LA (NPI# 1194784173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194784173 |
| Entity Type | Organization |
| Organization Name | MEDICAL INFUSION THERAPY OF LA |
| Practice Address |
1525 Doctors Dr Bossier City LA 71111-3321 |
| Practice Telephone | 3187411009 |
| Practice Fax Number | 3187411842 |
| Mailing Telephone | 3187411009 |
| Mailing Fax Number | 3187411842 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2007-08-30 |
| Authorized Official Name | MRS. JEAN HOOGENDYK (OWNER - ADMINISTRATOR) |
| Authorized Official Telephone | 3187411009 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
4428 IR | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1264733 | 05 |
| Street Address |
1525 DOCTORS DR |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-3321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538346150 | National Infusion Therapy, LLC | Pharmacy | 1525 Doctors Dr, Bossier City, LA 71111-3321 | 2008-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750933230 | Specialty Infusion LLC | Clinic/Center | 1812 Avenue of America Ste 4, Monroe, LA 71201-4520 | 2019-07-15 |
| 1790272490 | Neuromend Infusion Center, LLC | Clinic/Center | 1700 Kaliste Saloom Rd Ste 601, Lafayette, LA 70508-6186 | 2018-04-18 |
| 1871926030 | Coram Alternate Site Services, Inc. | Clinic/Center | 4317 Bluebonnet Blvd Ste B, Baton Rouge, LA 70809-9643 | 2013-08-12 |
| 1649563701 | Miss-lou Infusion Therapy | Clinic/Center | 1643 Carter Street, Suite 1, Vidalia, LA 71373 | 2011-05-24 |
| 1649623372 | Trina Health of Denham Springs, LLC | Clinic/Center | 2720 Rue De Jardin, Suite 100, Lake Charles, LA 70605-4050 | 2016-07-18 |
| 1043646805 | Fast Infusion Services | Clinic/Center | 3225 Danny Park, Suite 102, Metairie, LA 70002-5776 | 2013-09-24 |
| 1487854949 | Gastroenterology Clinic of Acadiana | Clinic/Center | 1211 Coolidge Blvd, Suite 303, Lafayette, LA 70503-2636 | 2007-07-23 |
| City | BOSSIER CITY |
| Zip Code | 71111 |
Please comment or provide details below to improve the information on MEDICAL INFUSION THERAPY OF LA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.