Provider Demographics
NPI:1275611477
Name:RLT MEDICAL ASSOCIATES INC
Entity Type:Organization
Organization Name:RLT MEDICAL ASSOCIATES INC
Other - Org Name:CARDIOPHONICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:N
Authorized Official - Last Name:KUSER-TREADER
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN CCRN
Authorized Official - Phone:410-821-9620
Mailing Address - Street 1:1300 YORK RD
Mailing Address - Street 2:SUITE 100 BLDG A
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093
Mailing Address - Country:US
Mailing Address - Phone:410-821-9620
Mailing Address - Fax:410-821-9624
Practice Address - Street 1:1300 YORK RD
Practice Address - Street 2:SUITE 100 BLDG A
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093
Practice Address - Country:US
Practice Address - Phone:410-821-9620
Practice Address - Fax:410-821-9624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDFMCV01Medicare ID - Type Unspecified