Healthcare Provider Details

I. General information

NPI: 1366389322
Provider Name (Legal Business Name): TRUEID FINGERPRINTING & TESTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 FAIRWAY DR STE 116
DEERFIELD BEACH FL
33441-1803
US

IV. Provider business mailing address

10 FAIRWAY DR STE 116
DEERFIELD BEACH FL
33441-1803
US

V. Phone/Fax

Practice location:
  • Phone: 855-287-8343
  • Fax: 954-231-2404
Mailing address:
  • Phone: 855-287-8343
  • Fax: 954-231-2404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number
License Number State

VIII. Authorized Official

Name: JANICA MICHELLE POLK
Title or Position: DIRECTOR
Credential:
Phone: 855-287-8343