Provider Demographics
NPI:1902088701
Name:KARSTEN PROSTHETIC LABORATORIES LLC
Entity Type:Organization
Organization Name:KARSTEN PROSTHETIC LABORATORIES LLC
Other - Org Name:HANGER CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF REIMBURSEMENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-493-8288
Mailing Address - Street 1:2470 F RD STE 9
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505-1279
Mailing Address - Country:US
Mailing Address - Phone:970-243-6000
Mailing Address - Fax:970-241-2914
Practice Address - Street 1:2470 F RD STE 9
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-1279
Practice Address - Country:US
Practice Address - Phone:970-243-6000
Practice Address - Fax:970-241-2914
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HANGER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-04
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO08001679Medicaid
CO0280770001Medicare NSC