Tru3 Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TRU3 LABORATORY LLC

Practice address

12236 Tavares Ridge LN
Tavares, FL 32778-4460

Phone

(352) 636-2821

NPI assigned

Mar 18, 2024

Organization subpart

No

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

Authorized official

Name

Kristen Renee IdowuNPI 1043079072

Title

MGR

Phone

(352) 636-2821

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen Idowu

  • Phlebotomy Technician
  • Tavares, FL
  • NPI 1043079072
  NPD Authorized official

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1225897804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12236 TAVARES RIDGE LN",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784460",
            "telephone_number": "352-636-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12236 TAVARES RIDGE LN",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784460",
            "telephone_number": "352-636-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRU3 LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-16",
        "status": "A",
        "authorized_official_last_name": "IDOWU",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "352-636-2821"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David Truong, DMD
• Mary L Tucker
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• Forrest Nicholas Turner
• U Rang Delivery LLC

• Clinical Medical Laboratory in Tavares, FL
• Providers in Tavares, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.