RTG Medical

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

RTG MEDICAL

Practice address

3028 Paddock Road
Apartment 113a
Omaha, NE 68124

Phone

(859) 757-5796

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert Wade Jenkins, MLT

Title

Medical Laboratory Technician

Phone

(859) 757-5796

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1659588705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 HIGHWAY AVE",
            "city": "LUDLOW",
            "state": "KY",
            "postal_code": "410161688",
            "telephone_number": "859-757-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 PADDOCK ROAD",
            "address_2": "APARTMENT 113A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68124",
            "telephone_number": "859-757-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RTG MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "MEDICAL LABORATORY TECHNICIAN",
        "authorized_official_telephone_number": "859-757-5796",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MLT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Omaha, NE
• Providers in Omaha, NE by specialty
• Clinical Medical Laboratory in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.