Provider Demographics
NPI:1588498091
Name:HEALTHTRACKRX OF MARYLAND LLC
Entity type:Organization
Organization Name:HEALTHTRACKRX OF MARYLAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP RCM ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NEILEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-264-1405
Mailing Address - Street 1:1500 INTERSTATE 35 W
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76207-2402
Mailing Address - Country:US
Mailing Address - Phone:940-383-2223
Mailing Address - Fax:214-975-2717
Practice Address - Street 1:706 E LEWIS AND CLARK PKWY STE 4
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47129-2279
Practice Address - Country:US
Practice Address - Phone:770-759-0289
Practice Address - Fax:214-975-2276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-27
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory