Active NPI
TCF Lab Service LLC
- Clinical Medical Laboratory
- Fort Worth, TX
National Provider Identifier
1891547790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- TCF LAB SERVICE LLC
- Practice address
- 6815 Manhattan Blvd Ste 105
Fort Worth, TX 76120-1212 - Phone
- (936) 221-1099
- Fax
- (936) 221-1099
- NPI assigned
- Apr 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Evelina L Kissentaner
- Title
- Ceo/Founder
- Phone
- (682) 282-7513
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
6815 Manhattan Blvd Ste 105
Fort Worth, TX 76120-1212
Mailing address
6815 Manhattan Blvd Ste 105
Fort Worth, TX 76120-1212
Phone (936) 221-1099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45D2295487 | Other | TX | CLIA |
Other names 1
- TCF Lab Service LLC
National Provider Directory
National Provider DirectoryLocations
6815 Manhattan Blvd
Ste 105
Fort Worth, TX 76120
Phone (936) 221-1099
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Medical Laboratory
- Arlington, TX
- NPI 1447774542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760918400000",
"number": "1891547790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6815 MANHATTAN BLVD STE 105",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761201212",
"telephone_number": "936-221-1099",
"fax_number": "469-281-1982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6815 MANHATTAN BLVD STE 105",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761201212",
"telephone_number": "936-221-1099",
"fax_number": "936-221-1099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TCF LAB SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-03",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A",
"authorized_official_last_name": "KISSENTANER",
"authorized_official_first_name": "EVELINA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO/FOUNDER",
"authorized_official_telephone_number": "682-282-7513",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "45D2295487",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TCF Lab Service LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "TCF Lab Service LLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "TCF Lab Service LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.