Provider Demographics
NPI:1053681668
Name:PHYSICIANS EKG READING GROUP INC
Entity Type:Organization
Organization Name:PHYSICIANS EKG READING GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:HINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-747-5755
Mailing Address - Street 1:PO BOX 8063
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33468-8063
Mailing Address - Country:US
Mailing Address - Phone:561-747-5755
Mailing Address - Fax:561-743-3359
Practice Address - Street 1:725 N HIGHWAY A1A
Practice Address - Street 2:SUITE D102
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-4571
Practice Address - Country:US
Practice Address - Phone:561-747-5755
Practice Address - Fax:561-743-3359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty