Organization
TCF LAB SERVICE LLC
Active
Other names
TCF Lab Service LLC, TCF Lab Service LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVELINA L KISSENTANER (CEO/FOUNDER)
(682) 282-7513
Entity
Organization
Contact information
Practice address
6815 MANHATTAN BLVD STE 105, FORT WORTH, TX 76120-1212
(936) 221-1099
(936) 221-1099
Mailing address
6815 MANHATTAN BLVD STE 105, FORT WORTH, TX 76120-1212
(936) 221-1099
(469) 281-1982
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D2295487
CLIA
TX
Enumeration date
04/03/2024
Last updated
10/20/2025
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