Organization
RMG ART LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC A BERNHISEL M.D. (MEDICAL DIRECTOR)
(813) 914-7304
Entity
Organization
Contact information
Practice address
5245 E FLETCHER AVE, SUITE 2, TAMPA, FL 33617-1126
(813) 914-7304
(813) 914-7314
Mailing address
5245 E FLETCHER AVE, SUITE 2, TAMPA, FL 33617-1126
(813) 914-7304
(813) 914-7314
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800020271
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D1035477
CLIA
FL
01
—
L9269
BCBS NUMBER
FL
Enumeration date
09/14/2005
Last updated
03/07/2012
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