Provider Demographics
NPI:1831417203
Name:INFINITE DME SERVICES
Entity type:Organization
Organization Name:INFINITE DME SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HOLDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-528-1565
Mailing Address - Street 1:2300 N PERSHING DR
Mailing Address - Street 2:SUITE 375
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-1428
Mailing Address - Country:US
Mailing Address - Phone:703-528-1565
Mailing Address - Fax:202-465-4649
Practice Address - Street 1:2300 N PERSHING DR
Practice Address - Street 2:SUITE 375
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-1428
Practice Address - Country:US
Practice Address - Phone:703-528-1565
Practice Address - Fax:202-465-4649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA332B00000X
VA123456332B00000X
DC332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies