Provider Demographics
NPI:1891746087
Name:KARSEN DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:KARSEN DIAGNOSTICS LLC
Other - Org Name:AYLWIN K PARKER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AYLWIN
Authorized Official - Middle Name:KARSEN
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:RDCS
Authorized Official - Phone:210-270-0331
Mailing Address - Street 1:1954 E HOUSTON ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78202-2951
Mailing Address - Country:US
Mailing Address - Phone:210-270-0331
Mailing Address - Fax:210-587-2491
Practice Address - Street 1:1954 E HOUSTON ST
Practice Address - Street 2:SUITE 106
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78202-2951
Practice Address - Country:US
Practice Address - Phone:210-270-0331
Practice Address - Fax:210-587-2491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-13
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX246XS1301X, 246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Multi-Specialty
No246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX178384701Medicaid
TXFTC-V14Medicare PIN