Organization Active NPI

RMG Art Laboratory

  • Clinical Medical Laboratory
  • Tampa, FL
National Provider Identifier
1083609127
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
800020271 Issued in FL
Legal business name
RMG ART LABORATORY
Practice address
5245 E Fletcher Ave
Suite 2
Tampa, FL 33617-1126
Phone
(813) 914-7304
Fax
(813) 914-7314
NPI assigned
Sep 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marc A Bernhisel, M.D.
Title
Medical Director
Phone
(813) 914-7304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 800020271 FL Primary

Addresses

Primary practice location

5245 E Fletcher Ave
Suite 2
Tampa, FL 33617-1126

Mailing address

5245 E Fletcher Ave
Suite 2
Tampa, FL 33617-1126
Phone (813) 914-7304

Other identifiers 2

IdentifierTypeStateIssuer
10D1035477OtherFLCLIA
L9269OtherFLBCBS NUMBER

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1035477RMG Art Laboratories LLC5245 E Fletcher Ave Ste 2, Tampa, FL 33617AccreditationFeb 28, 2027

National Provider Directory

National Provider Directory

Locations

5245 E Fletcher Ave
Ste 2
Temple Terrace, FL 33617
Phone (813) 914-7304

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1083609127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 E FLETCHER AVE",
            "address_2": "SUITE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336171126",
            "telephone_number": "813-914-7304",
            "fax_number": "813-914-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 E FLETCHER AVE",
            "address_2": "SUITE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336171126",
            "telephone_number": "813-914-7304",
            "fax_number": "813-914-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RMG ART LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "BERNHISEL",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-914-7304",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800020271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D1035477",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "L9269",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.