OrganizationActive
Medical Infusion Therapy of La
NPI 1194784173 · Infusion Therapy Clinic/Center · Bossier City, LA
Provider details
- NPI number
- 1194784173
- Entity type
- Organization
- Primary specialty
- Infusion Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jean Hoogendyk, Owner - Administrator(318) 741-1009
- License
- 4428 IR (LA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1525 Doctors Dr
Bossier City, LA 71111-3321
Phone: (318) 741-1009
Fax: (318) 741-1842
Approximate (ZIP-level) locationGet directions
Mailing address
1525 Doctors Dr
Bossier City, LA 71111-3321
Registry dates
- Enumerated
- 2006-03-20
- Last updated
- 2007-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.