Organization · Type 2 NPI

Rising Tide Reference Laboratory

Clinical Medical Laboratory · Longwood, FL

NPI number 1669170882 Active

Practice location

495 N Hwy 17 92 Unit 101
Longwood, FL 32750-4487

Fax (352) 282-3975

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory Primary 291U00000XNone listed

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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About NPI 1669170882

Rising Tide Reference Laboratory's National Provider Identifier is 1669170882, issued on Feb 16, 2023. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Longwood, FL. The record was last updated on Apr 28, 2025.