Provider Demographics
NPI:1316759574
Name:THHC LABS
Entity type:Organization
Organization Name:THHC LABS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TATIYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-659-6450
Mailing Address - Street 1:11232 BOYETTE RD # 1140
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33569-8009
Mailing Address - Country:US
Mailing Address - Phone:656-234-0004
Mailing Address - Fax:
Practice Address - Street 1:11232 BOYETTE RD # 1140
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33569-8009
Practice Address - Country:US
Practice Address - Phone:656-234-0004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THOMPSONS HOME HEALTH CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory