Provider Demographics
NPI:1891754602
Name:ARJ INFUSION SERVICES, LLC
Entity Type:Organization
Organization Name:ARJ INFUSION SERVICES, LLC
Other - Org Name:ARJ INFUSION SERVICES INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:JARDINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-692-2704
Mailing Address - Street 1:7930 MARSHALL DR
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1562
Mailing Address - Country:US
Mailing Address - Phone:913-451-8804
Mailing Address - Fax:913-451-8914
Practice Address - Street 1:7930 MARSHALL DR
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66214-1562
Practice Address - Country:US
Practice Address - Phone:913-451-8804
Practice Address - Fax:913-451-8914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-21
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251F00000X, 3336S0011X
KS99483336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251F00000XAgenciesHome Infusion
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100444660AMedicaid
2026888OtherPK