Organization
IV SERVICES LLC
Active
Other names
Genefic Infusion Rx
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE MCCOLLUM (CFO)
(949) 375-6566
Entity
Organization
Contact information
Practice address
3044 RIDGELAKE DR, METAIRIE, LA 70002-4925
(504) 394-9037
(504) 392-0973
Mailing address
3044 RIDGELAKE DR, METAIRIE, LA 70002-4925
(504) 394-9037
(504) 392-0973
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHY003256IR
LA
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136372
PK
—
05
—
2201123
—
LA
Enumeration date
09/23/2011
Last updated
01/27/2025
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