Provider Demographics
NPI:1790753291
Name:HOWARD COUNTY GENERAL EKG, INC.
Entity Type:Organization
Organization Name:HOWARD COUNTY GENERAL EKG, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MARLOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-276-9000
Mailing Address - Street 1:9900 FRANKLIN SQUARE DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-5915
Mailing Address - Country:US
Mailing Address - Phone:443-276-9000
Mailing Address - Fax:443-276-9610
Practice Address - Street 1:5755 CEDAR LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2912
Practice Address - Country:US
Practice Address - Phone:443-276-9000
Practice Address - Fax:443-276-9610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-09
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD288771100Medicaid
MDK032OtherBCBS MD
DC2520OtherBCBS DC
MD275876OtherMAMSI CARDIOLOGY
MDK032Medicare ID - Type UnspecifiedMEDICARE GROUP
MD288771100Medicaid