I V League LLC
in Oklahoma City, OK. Organization (NPI-2).
NPI number1962378281
StatusActive
Last updated in NPPESOct 14, 2025
Details
- NPI
- 1962378281
- Entity type
- Organization (NPI-2)
- Legal business name
- I V League LLC
- Organization subpart
- No
- Enumeration date
- Oct 14, 2025
- Certification date
- Oct 14, 2025
- Last updated
- Oct 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | – | – | Yes |
Other names
- Innovative Vascular Access (Doing Business As)
Practice location
5721 Nw 132nd StOklahoma City, OK 73142-4437
Phone 405-473-0210
Mailing address
5721 Nw 132nd StOklahoma City, OK 73142-4437
Authorized official
Randy Patterson
Owber
4054730210
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