Healthcare Provider Details

I. General information

NPI: 1609785823
Provider Name (Legal Business Name): MKT VENTURES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

849 FAIRMOUNT AVE
TOWSON MD
21286-2624
US

IV. Provider business mailing address

808 GLENEAGLES CT STE 42362
TOWSON MD
21286-2205
US

V. Phone/Fax

Practice location:
  • Phone: 410-925-1256
  • Fax:
Mailing address:
  • Phone: 410-925-1256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL THOMAS
Title or Position: PRESIDENT & CEO
Credential:
Phone: 410-925-1256