OrganizationActive
Tide Laboratories, LLC
NPI 1306343231 · Clinical Medical Laboratory · Fort Payne, AL
Provider details
- NPI number
- 1306343231
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Trevor Cleckler, Member(256) 516-4153
- License
- 01D2119386 (AL)
Specialties & taxonomies
Laboratories
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
913 Airport Rd W Ste B
Fort Payne, AL 35968-3315
Phone: (256) 845-1261
Street-level locationGet directions
Mailing address
913 Airport Rd W Ste B
Fort Payne, AL 35968-3315
Other names (DBA / former)
- Former legal business name
- Tide Tox, LLC
Registry dates
- Enumerated
- 2018-04-08
- Last updated
- 2018-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.