OrganizationActive
Tide Laboratories, LLC
NPI 1306343231 · Clinical Medical Laboratory · Fort Payne, AL
Tide Laboratories, LLC is a Clinical Medical Laboratory organization in Fort Payne, AL (NPI 1306343231).
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(69/100 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
Frequently asked questions
- What is Tide Laboratories, LLC's NPI number?
- Tide Laboratories, LLC's National Provider Identifier (NPI) is 1306343231, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tide Laboratories, LLC?
- Tide Laboratories, LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Tide Laboratories, LLC located?
- Tide Laboratories, LLC's practice location on file with NPPES is 913 Airport Rd W Ste B, Fort Payne, AL 35968-3315.
- What is Tide Laboratories, LLC's phone number?
- The practice phone number listed in the NPPES registry for Tide Laboratories, LLC is (256) 845-1261.
- Who is the authorized official for Tide Laboratories, LLC?
- The authorized official listed on Tide Laboratories, LLC's NPPES record is Trevor Cleckler, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tide Laboratories, LLC's NPI active?
- Yes — Tide Laboratories, LLC's NPI (1306343231) is active in the NPPES registry as of the last update on 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.