Healthcare Provider Details

I. General information

NPI: 1912195801
Provider Name (Legal Business Name): TVS LABORATORY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2007
Last Update Date: 10/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

664 STONELEIGH AVE SUITE 204
CARMEL NY
10512-3940
US

IV. Provider business mailing address

664 STONELEIGH AVE SUITE 204
CARMEL NY
10512-3940
US

V. Phone/Fax

Practice location:
  • Phone: 845-278-9670
  • Fax: 845-278-8986
Mailing address:
  • Phone: 845-278-9670
  • Fax: 845-278-8986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANCIS X CARROLL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 845-278-9670