Healthcare Provider Details

I. General information

NPI: 1922254283
Provider Name (Legal Business Name): INFUSCIENCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2008
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4151 LAFAYETTE CENTER DR STE 600
CHANTILLY VA
20151
US

IV. Provider business mailing address

PO BOX 418711
BOSTON MA
02241-8711
US

V. Phone/Fax

Practice location:
  • Phone: 703-230-4638
  • Fax: 703-230-4639
Mailing address:
  • Phone: 800-879-6137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL SHAPIRO
Title or Position: PRESIDENT & CFO
Credential:
Phone: 800-879-6137