Organization
BRT LABORATORIES, INC.
Active
Organization
BRT LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD C HACKNEY JR. (PRESIDENT)
(410) 225-9595
Entity
Organization
Contact information
Practice address
400 W FRANKLIN ST, BALTIMORE, MD 21201-1811
(410) 225-9595
(410) 383-0938
Mailing address
400 W FRANKLIN ST, BALTIMORE, MD 21201-1811
(410) 225-9595
(410) 383-0938
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
026
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21D0649755
CLIA
—
Enumeration date
09/22/2009
Last updated
09/22/2009
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