Provider Demographics
NPI:1013635416
Name:TC MEDICAL SERVICES
Entity Type:Organization
Organization Name:TC MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TEE-YA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CPT
Authorized Official - Phone:708-855-4078
Mailing Address - Street 1:1458 WINANS AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:BOURBONNAIS
Mailing Address - State:IL
Mailing Address - Zip Code:60914-4752
Mailing Address - Country:US
Mailing Address - Phone:708-855-4078
Mailing Address - Fax:
Practice Address - Street 1:7060 CENTENNIAL DR STE 101
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-1699
Practice Address - Country:US
Practice Address - Phone:708-855-4078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty