Organization
OPTIMED INFUSION LLC
Active
Parent organization
OPTIMED INFUSION LLC
Other names
optimed infusion llc DBA optimed laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPTIMED INFUSION LLC
Authorized official
MRS. TRUDY ANN MCNEIL R.N. (BUSINESS MANAGER)
(614) 430-8022
Entity
Organization
Contact information
Practice address
8080 RAVINES EDGE CT STE 200, COLUMBUS, OH 43235-5424
(614) 430-8022
(614) 430-8025
Mailing address
8080 RAVINES EDGE CT STE 200, COLUMBUS, OH 43235-5424
(614) 430-8022
(614) 430-8025
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
35054381
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2370287
—
OH
Enumeration date
10/24/2016
Last updated
12/26/2018
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