NPIMap

Organization Active NPI

TCTT Laboratory Services

  • Clinic/Center
  • Cape Coral, FL
National Provider Identifier
1114674389
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TCTT LABORATORY SERVICES
Practice address
105 SW Trafalgar Pkwy
Cape Coral, FL 33991-3489
Phone
(239) 240-6721
NPI assigned
Mar 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Taylisa Johnson
Title
Ambr
Phone
(239) 240-6721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

105 SW Trafalgar Pkwy
Cape Coral, FL 33991-3489

Mailing address

105 SW Trafalgar Pkwy
Cape Coral, FL 33991-3489
Phone (239) 240-6721

National Provider Directory

National Provider Directory
Tax ID family
TCTT Laboratory Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1114674389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SW TRAFALGAR PKWY",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339913489",
            "telephone_number": "239-240-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SW TRAFALGAR PKWY",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339913489",
            "telephone_number": "239-240-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCTT LABORATORY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TAYLISA",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "239-240-6721"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.