Organization
THE PERFORMANCE LAB, LLC
Active
Other names
The Performance Lab
Organization subpart
No
Provider details
NPI number
Authorized official
BAHIR L MANIOS (CEO)
(813) 212-1120
Entity
Organization
Contact information
Practice address
6920 N DALE MABRY HWY, TAMPA, FL 33614-3931
(813) 766-7180
Mailing address
6920 N DALE MABRY HWY, TAMPA, FL 33614-3931
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2024
Last updated
04/01/2026
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