Organization
PEDIATRIC INFUSION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI D ELLIOTT RN (CO-OWNER)
(253) 202-3495
Entity
Organization
Contact information
Practice address
1004 E MAIN STE D, PUYALLUP, WA 98372-3199
(253) 202-3495
(253) 944-1320
Mailing address
1643 BROWNS POINT BLVD, TACOMA, WA 98422-2308
(253) 202-3495
(253) 944-1320
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
12/27/2022
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