Provider Demographics
NPI:1255691283
Name:ADVANCED IV SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ADVANCED IV SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CARY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BOBBITT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:502-345-7262
Mailing Address - Street 1:2370 RIDGE CREST DR NE
Mailing Address - Street 2:
Mailing Address - City:LANESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47136-8102
Mailing Address - Country:US
Mailing Address - Phone:502-345-7262
Mailing Address - Fax:812-952-4075
Practice Address - Street 1:2370 RIDGE CREST DR NE
Practice Address - Street 2:
Practice Address - City:LANESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47136-8102
Practice Address - Country:US
Practice Address - Phone:502-345-7262
Practice Address - Fax:812-952-4075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion