Provider Demographics
NPI:1801075734
Name:O2 DIAGNOSTICS INCORPORATED
Entity type:Organization
Organization Name:O2 DIAGNOSTICS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:JARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:CRT/ LPM
Authorized Official - Phone:731-986-0121
Mailing Address - Street 1:915 POPLAR SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON
Mailing Address - State:TN
Mailing Address - Zip Code:38344-8867
Mailing Address - Country:US
Mailing Address - Phone:731-986-0121
Mailing Address - Fax:731-986-0094
Practice Address - Street 1:915 POPLAR SPRINGS RD
Practice Address - Street 2:
Practice Address - City:HUNTINGDON
Practice Address - State:TN
Practice Address - Zip Code:38344-8867
Practice Address - Country:US
Practice Address - Phone:731-986-0121
Practice Address - Fax:731-986-0094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-27
Last Update Date:2007-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service