# ELECTROCARDIOGRAPHY ASSOC PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114142536
- **Authorized official:** DR. TIM ELLINGTON M.D. (SEC. TREA.)
- **Authorized official phone:** (903) 454-8133

## Contact information

- **Practice address:** 4803 WESLEY ST, GREENVILLE, TX 75401-5649
- **Practice address phone:** (903) 454-8133
- **Mailing address:** PO BOX 9234, GREENVILLE, TX 75404-9234
- **Mailing address phone:** (903) 454-8133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 06/27/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0828600-01 | — | TX |
| 01 | — | CS3178 | RAILROAD MEDICARE | TX |