Organization · Type 2 NPI

Innovative Infusions, LLC

Infusion Therapy Clinic/Center · St. Louis, MO

NPI number 1134821309 Active

Practice location

12669 Olive Blvd Ste A
St. Louis, MO 63141-6333

Call (314) 710-5021 Map

Mailing address

3033 W President George Bush Hwy Ste 100B
Plano, TX 75075-5885

Specialties and licenses

Taxonomy	Code	License
Infusion Therapy Clinic/Center Primary	261QI0500X	None listed
Nurse Practitioner	363L00000X	None listed

Infusion Therapy Clinic/Center: Definition to come...

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NPI record

NPI: 1134821309
Entity type: Organization (Type 2)
Issued: Mar 20, 2023
Last updated: Jun 5, 2026
Status: Active
Subpart: Yes of Innovative Infusions, LLC

Other names

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Paragon Infusion Centers · doing business as
Paragon Infusion Centers · doing business as

Authorized official

Nicholas Maroulis, PharmD
Vice President
(689) 263-5021

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1134821309

Innovative Infusions, LLC's National Provider Identifier is 1134821309, issued on Mar 20, 2023. The primary taxonomy on file is Infusion Therapy Clinic/Center (261QI0500X), and the practice location is in St. Louis, MO. The record was last updated on Jun 5, 2026.