Active NPI
Immedia Health LLC
Doing business as IV Ready
- Infusion Therapy Clinic/Center
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Clinic/Center
- Legal business name
- IMMEDIA HEALTH LLC
- Doing business as
- IV Ready
Immedia Primary and Wellness Care - Practice address
- 612 S Jones Blvd Ste 101
Las Vegas, NV 89107-3613 - Phone
- (865) 228-7873
- NPI assigned
- Dec 17, 2024
- Last updated
- Mar 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sara A Olson
- Title
- Manager
- Phone
- (865) 228-7873
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | |||
| Clinic/Center | 261Q00000X | |||
| Infusion Therapy Clinic/Center | 261QI0500X | Primary | ||
| Registered Nurse | 163W00000X | |||
| Community Health Worker | 172V00000X |
Addresses
Primary practice location
612 S Jones Blvd Ste 101
Las Vegas, NV 89107-3613
Mailing address
612 S Jones Blvd
Las Vegas, NV 89107-3613
Other names 2
- IV Ready
- Immedia Primary and Wellness Care
National Provider Directory
National Provider DirectoryLocations
612 S Jones Blvd
Las Vegas, NV 89107
Phone (865) 228-7873
612 S Jones Blvd
Ste 101
Las Vegas, NV 89107
Phone (865) 228-7873
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Nurse
- Las Vegas, NV
- NPI 1164239604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741651200000",
"number": "1528875069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 S JONES BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891073613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 S JONES BLVD STE 101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891073613",
"telephone_number": "865-228-7873"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMMEDIA HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-17",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A",
"authorized_official_last_name": "OLSON",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "865-228-7873"
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "IV Ready",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Immedia Primary and Wellness Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.