Provider Demographics
NPI:1013102680
Name:PDK OXIMETRY, LLC
Entity type:Organization
Organization Name:PDK OXIMETRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DUANE
Authorized Official - Middle Name:A
Authorized Official - Last Name:KARSTEN
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:877-402-7287
Mailing Address - Street 1:7653 MISSION HOME RD
Mailing Address - Street 2:
Mailing Address - City:FREE UNION
Mailing Address - State:VA
Mailing Address - Zip Code:22940-1512
Mailing Address - Country:US
Mailing Address - Phone:877-402-7287
Mailing Address - Fax:434-985-7737
Practice Address - Street 1:7653 MISSION HOME RD
Practice Address - Street 2:
Practice Address - City:FREE UNION
Practice Address - State:VA
Practice Address - Zip Code:22940-1512
Practice Address - Country:US
Practice Address - Phone:877-402-7287
Practice Address - Fax:434-985-7737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-07
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01170019592278G0305X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2278G0305XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGeriatric CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA174784OtherANTHEM
VAFVP008Medicare PIN