Provider Demographics
NPI:1619635661
Name:T&R CAREPACK SOLUTIONS LLC
Entity Type:Organization
Organization Name:T&R CAREPACK SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAY
Authorized Official - Suffix:
Authorized Official - Credentials:CPT
Authorized Official - Phone:470-773-7911
Mailing Address - Street 1:4 S TALLAHASSEE ST STE 2
Mailing Address - Street 2:
Mailing Address - City:HAZLEHURST
Mailing Address - State:GA
Mailing Address - Zip Code:31539-6136
Mailing Address - Country:US
Mailing Address - Phone:470-773-7911
Mailing Address - Fax:
Practice Address - Street 1:4 S TALLAHASSEE ST STE 2
Practice Address - Street 2:
Practice Address - City:HAZLEHURST
Practice Address - State:GA
Practice Address - Zip Code:31539-6136
Practice Address - Country:US
Practice Address - Phone:470-773-7911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory