Organization
TSA LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS CROALL (CEO)
(754) 300-4520
Entity
Organization
Contact information
Practice address
11350 SW VILLAGE PKWY, SUITE 311, PORT ST LUCIE, FL 34987-2352
(754) 300-4520
Mailing address
4792 W COMMERCIAL BLVD, TAMARAC, FL 33319-2878
(754) 300-4520
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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