Healthcare Provider Details

I. General information

NPI: 1902944804
Provider Name (Legal Business Name): IVX,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 15TH ST E SUITE E
TUSCALOOSA AL
35401-3295
US

IV. Provider business mailing address

607 15TH ST E SUITE E
TUSCALOOSA AL
35401-3295
US

V. Phone/Fax

Practice location:
  • Phone: 205-758-9040
  • Fax: 205-758-9205
Mailing address:
  • Phone: 205-758-9040
  • Fax: 205-758-9205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number105470
License Number StateAL

VIII. Authorized Official

Name: DR. HAROLD L THOMAS JR.
Title or Position: DIRECTOR
Credential: PHARMD
Phone: 205-758-9040