Optum Infusion Services 100, Inc.

LBN: Optum Infusion Services 100, Inc.
Optum Infusion Services 100, Inc. is an health care organization with primary practice located at 931 D Conklin Street , Farmingdale NY 11735. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Infusion, Suppliers / Parenteral & Enteral Nutrition. Agencies / Home Infusion is the primary health care specialty. Optum Infusion Services 100, Inc. can be contacted via phone (800) 346-6348, or through Oberg, David via phone (499) 988-5893.

Contact Information

Primary practice address
931 D Conklin Street Farmingdale NY 11735
Phone: (800) 346-6348
Fax: (866) 689-3569
Website:
Map and Directions
Authorized official contact:
Name: Oberg, David
Phone: (499) 988-5893

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Infusion 251F00000X 9296L0001 New York
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 020477 New York

Profile Details

NPI number 1043275969
LBN Legal business name Optum Infusion Services 100, Inc.
DBA Doing business as
Authorized official Oberg, David
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2006
Last updated Sep 22nd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043275969 NPPES
New York Other 85329 MVP
New York Other ANC1772 MVP
New York Other 9296L001 MVP
New York Other 58658 MVP
New York Other B6A532 MVP
New York Other 114382 MVP

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