MEDICARE: INFINITE DME SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies		VA
2	332B00000X	Durable Medical Equipment & Medical Supplies	123456	VA
3	332B00000X	Durable Medical Equipment & Medical Supplies		DC

General Provider Information

NPI Number	:	1831417203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINITE DME SERVICES

Provider Business Mailing Address
First Line	:	2300 N PERSHING DR
Second Line	:	SUITE 375
City	:	ARLINGTON
State	:	VA
Zip	:	22201-1428
Country	:	US
Telephone Number	:	703-528-1565
Fax Number	:	202-465-4649

Provider Business Practice Location Address
First Line	:	2300 N PERSHING DR
Second Line	:	SUITE 375
City	:	ARLINGTON
State	:	VA
Zip	:	22201-1428
Country	:	US
Telephone Number	:	703-528-1565
Fax Number	:	202-465-4649

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. KEITH MICHAEL HOLDAN
Credential	:
Telephone Number	:	703-528-1565

Provider Enumeration Date	:	05/11/2010
Last Update Date	:	07/21/2022

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Directions to “INFINITE DME SERVICES ” Practice Location

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