Provider Demographics
NPI:1902559461
Name:OMG HOLDING LLC DBA ARCPOINT LABS SOUTHERN MARYLAND
Entity Type:Organization
Organization Name:OMG HOLDING LLC DBA ARCPOINT LABS SOUTHERN MARYLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-828-3759
Mailing Address - Street 1:6 POST OFFICE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-2746
Mailing Address - Country:US
Mailing Address - Phone:301-645-5227
Mailing Address - Fax:301-645-5227
Practice Address - Street 1:6 POST OFFICE RD STE 102
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-2746
Practice Address - Country:US
Practice Address - Phone:301-645-5227
Practice Address - Fax:301-645-5227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center