Organization
TIER ONE LABORATORIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD CHEESEBREW (MANAGING PARTNER)
(614) 804-4051
Entity
Organization
Contact information
Practice address
2328 10TH AVE N STE 203, LAKE WORTH, FL 33461-6612
(614) 804-4051
Mailing address
2328 10TH AVE N STE 203, LAKE WORTH, FL 33461-6612
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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