Provider Demographics
NPI:1487190443
Name:THCE, INC.
Entity Type:Organization
Organization Name:THCE, INC.
Other - Org Name:ON DEMAND MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:POLLYANN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRUBELNIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-500-5799
Mailing Address - Street 1:9051 EXECUTIVE PARK DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4606
Mailing Address - Country:US
Mailing Address - Phone:701-500-5799
Mailing Address - Fax:
Practice Address - Street 1:149 SPACE PARK S
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-3123
Practice Address - Country:US
Practice Address - Phone:701-500-5799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-16
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN177803291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory