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HOWARD COUNTY GASTROINTESTINAL DIAGNOSTIC CTR LLC NPI 1336159284


NPI Information

NPI: 1336159284
Provider Name: HOWARD COUNTY GASTROINTESTINAL DIAGNOSTIC CTR, LLC

Other Name: HOWARD COUNTY GASTROINTESTINAL DIAGNOSTIC CENTER, LLC

Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

Address:
10710 CHARTER DR
SUITE 120
COLUMBIA, MD
ZIP 21044
Phone: (410) 772-7345
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HOWARD COUNTY GASTROINTESTINAL DIAGNOSTIC CTR, LLC is an endoscopy clinic center in Columbia, MD. HOWARD COUNTY GASTROINTESTINAL DIAGNOSTIC CTR, LLC NPI is 1336159284. The provider is registered as an organization entity type.
The provider Other Name Is Howard County Gastrointestinal Diagnostic Center, Llc.

The provider's business location address is:

10710 CHARTER DR
SUITE 120
COLUMBIA, MD
ZIP 21044-858
Phone: (410) 772-7345
Fax: (410) 772-8860

The provider's authorized official is Sara Bressman .
The authorized official title is Officer/authorized Official and has the following contact phone number (402) 779-6135.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 6/8/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0800XClinic/CenterEndoscopyA1342MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18362033 00MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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