Healthcare Provider Details

I. General information

NPI: 1487203436
Provider Name (Legal Business Name): STATPOINT MEDICAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2019
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 E. ORDNANCE RD STE 203-204
GLEN BURNIE MD
21061
US

IV. Provider business mailing address

717 E. ORDNANCE RD STE 203-204
GLEN BURNIE MD
21061
US

V. Phone/Fax

Practice location:
  • Phone: 866-578-7702
  • Fax:
Mailing address:
  • Phone: 866-578-7702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KRISTOFFER GUNDRUM
Title or Position: PRESIDENT
Credential:
Phone: 866-578-7802