Provider Demographics
NPI:1790844215
Name:INFUSAID, LLC
Entity Type:Organization
Organization Name:INFUSAID, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-996-9826
Mailing Address - Street 1:208 CARTER DR
Mailing Address - Street 2:SUITE 20
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-4500
Mailing Address - Country:US
Mailing Address - Phone:610-696-6400
Mailing Address - Fax:610-696-6402
Practice Address - Street 1:208 CARTER DR
Practice Address - Street 2:SUITE 20
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-4500
Practice Address - Country:US
Practice Address - Phone:610-696-6400
Practice Address - Fax:610-696-6402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5658570001Medicare NSC