Organization
T.R. DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS D. SIEVERT D.O. (PRESIDENT)
(239) 770-6593
Entity
Organization
Contact information
Practice address
3880 COLONIAL BLVD, SUITE 1B, FORT MYERS, FL 33966-1062
(239) 770-6593
Mailing address
3880 COLONIAL BLVD, SUITE 1B, FORT MYERS, FL 33966-1062
(239) 770-6593
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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