Healthcare Provider Details

I. General information

NPI: 1902559461
Provider Name (Legal Business Name): OMG HOLDING LLC DBA ARCPOINT LABS SOUTHERN MARYLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2022
Last Update Date: 02/03/2022
Certification Date: 02/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 POST OFFICE RD STE 102
WALDORF MD
20602-2746
US

IV. Provider business mailing address

6 POST OFFICE RD STE 102
WALDORF MD
20602-2746
US

V. Phone/Fax

Practice location:
  • Phone: 301-645-5227
  • Fax: 301-645-5227
Mailing address:
  • Phone: 301-645-5227
  • Fax: 301-645-5227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN POWELL
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 603-828-3759