NPI Code Details Logo

NPI 1386603025

NPI 1386603025 : INTRAMED PLUS, LLC : GREENVILLE, SC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1386603025
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    INTRAMED PLUS, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/21/2006
-----------------------------------------------------
    Last Update Date     |    10/14/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    775 WOODRUFF RD STE A1 
-----------------------------------------------------
    City                 |    GREENVILLE
-----------------------------------------------------
    State                |    SC
-----------------------------------------------------
    Zip                  |    29607-3558
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    864-281-1553
-----------------------------------------------------
    Fax                  |    864-281-1583
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    775 WOODRUFF RD STE A1 
-----------------------------------------------------
    City                 |    GREENVILLE
-----------------------------------------------------
    State                |    SC
-----------------------------------------------------
    Zip                  |    29607-3558
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    864-281-1553
-----------------------------------------------------
    Fax                  |    864-281-1583
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT, CFO/TREASURER
-----------------------------------------------------
    Name                 |     MEENAL  SETHNA 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    800-679-6137
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    3336H0001X
-----------------------------------------------------
    Taxonomy Name        |    Home Infusion Therapy Pharmacy
-----------------------------------------------------
    License Number       |    02374886600066043
-----------------------------------------------------
    License Number State |    SC
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.