Provider Demographics
NPI:1184179236
Name:INFUSION EXPRESS OF PENNSYLVANIA PLLC
Entity Type:Organization
Organization Name:INFUSION EXPRESS OF PENNSYLVANIA PLLC
Other - Org Name:INFUSION EXPRESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIBELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-610-3727
Mailing Address - Street 1:13344 METCALF AVE
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-2804
Mailing Address - Country:US
Mailing Address - Phone:913-948-2020
Mailing Address - Fax:844-435-3188
Practice Address - Street 1:70 E SWEDESFORD RD STE 130
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-1482
Practice Address - Country:US
Practice Address - Phone:484-318-2268
Practice Address - Fax:844-820-9641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-18
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy