Rising Tide Reference Laboratory
Rising Tide Reference Laboratory is a Clinical Medical Laboratory in Longwood, Florida. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
495 N Hwy 17 92 Unit 101Longwood, FL 32750-4487
Phone: (407) 476-1646
Fax: (352) 282-3975
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Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X |
|---|
Record details
| NPI number | 1669170882 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Hrush — Ceo · (407) 476-3667 |
| NPI enumerated | February 16, 2023 |
| Last updated in NPPES | April 28, 2025 |
| Certification date | April 28, 2025 |
| Mailing address | 495 N Hwy 17 92 Unit 101, Longwood, FL 32750-4487 |
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