Organization Active NPI

Tackl-It LLC

  • Clinical Medical Laboratory
  • Savannah, GA
National Provider Identifier
1447972385
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
TACKL-IT LLC
Practice address
200 Commercial CT Ste C
Savannah, GA 31406-3657
Phone
(912) 373-7751
NPI assigned
Sep 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Authorized official

Name
Kellie Huff
Title
Coo
Phone
(912) 373-7751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

200 Commercial CT Ste C
Savannah, GA 31406-3657

Mailing address

200 Commercial CT Ste C
Savannah, GA 31406-3657
Phone (912) 373-7751

National Provider Directory

National Provider Directory

Locations

200 Commercial Ct
Ste C
Savannah, GA 31406
Phone (912) 373-7751

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1447972385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 COMMERCIAL CT STE C",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063657",
            "telephone_number": "912-373-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COMMERCIAL CT STE C",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063657",
            "telephone_number": "912-373-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACKL-IT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "HUFF",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "912-373-7751"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.