Provider Demographics
NPI:1922699198
Name:C TYLER LLC
Entity Type:Organization
Organization Name:C TYLER LLC
Other - Org Name:ADITUS HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CA'SEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:TYLER
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:240-763-0843
Mailing Address - Street 1:9375 CHESAPEAKE ST STE 219
Mailing Address - Street 2:
Mailing Address - City:LA PLATA
Mailing Address - State:MD
Mailing Address - Zip Code:20646-3654
Mailing Address - Country:US
Mailing Address - Phone:240-763-0843
Mailing Address - Fax:877-775-0210
Practice Address - Street 1:9375 CHESAPEAKE ST STE 219
Practice Address - Street 2:
Practice Address - City:LA PLATA
Practice Address - State:MD
Practice Address - Zip Code:20646-3654
Practice Address - Country:US
Practice Address - Phone:240-763-0843
Practice Address - Fax:877-775-0210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care