Provider Demographics
NPI:1700465580
Name:RTC LEGAL NURSE CONSULTING LLC
Entity Type:Organization
Organization Name:RTC LEGAL NURSE CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:PROF
Authorized Official - First Name:RENALDA
Authorized Official - Middle Name:TRACY
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-562-3639
Mailing Address - Street 1:7608 HAZELCREST DR APT C
Mailing Address - Street 2:
Mailing Address - City:HAZELWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63042-2267
Mailing Address - Country:US
Mailing Address - Phone:314-562-3639
Mailing Address - Fax:
Practice Address - Street 1:7608 HAZELCREST DR APT C
Practice Address - Street 2:
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-2267
Practice Address - Country:US
Practice Address - Phone:314-562-3639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory