Organization
IMMEDIA HEALTH LLC
Active
Other names
Immedia Primary and Wellness Care, IV Ready
Organization subpart
No
Provider details
NPI number
Authorized official
SARA A OLSON (MANAGER)
(865) 228-7873
Entity
Organization
Contact information
Practice address
612 S JONES BLVD STE 101, LAS VEGAS, NV 89107-3613
(865) 228-7873
Mailing address
612 S JONES BLVD, LAS VEGAS, NV 89107-3613
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
172V00000X
Community Health Worker
—
—
251F00000X
Home Infusion Agency
—
—
261Q00000X
Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
03/11/2025
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