Provider Demographics
NPI:1558067322
Name:TNR HEARTS DIAGNOSTIC SOLUTIONS
Entity Type:Organization
Organization Name:TNR HEARTS DIAGNOSTIC SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TARSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:JENNINGS MOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-706-1868
Mailing Address - Street 1:1707 W REYNOLDS ST # 104
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-4737
Mailing Address - Country:US
Mailing Address - Phone:813-706-1868
Mailing Address - Fax:800-867-6109
Practice Address - Street 1:1707 W REYNOLDS ST # 104
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-4737
Practice Address - Country:US
Practice Address - Phone:813-706-1868
Practice Address - Fax:800-867-6109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory