Provider Demographics
NPI:1700492642
Name:TOX CREW INC
Entity Type:Organization
Organization Name:TOX CREW INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:HIGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-406-8979
Mailing Address - Street 1:9111 CROSS PARK DR STE E138
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4537
Mailing Address - Country:US
Mailing Address - Phone:865-888-7813
Mailing Address - Fax:865-474-1037
Practice Address - Street 1:9111 CROSS PARK DR STE E138
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4537
Practice Address - Country:US
Practice Address - Phone:865-406-8979
Practice Address - Fax:865-474-1037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory