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RISING TIDE REFERENCE LABORATORY
NPI 1669170882
Clinical Medical Laboratory in Longwood, FL

Active since February 16, 2023CLIA 10D2276452 · Certificate of Compliance
495 N HWY 17 92 UNIT 101, LONGWOOD, FL 32750(407) 476-1646(352) 282-3975 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 17, 2024, May 3, 2023, Feb 16, 2023 (3 updates tracked since 2023).

About Rising Tide Reference Laboratory NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RISING TIDE REFERENCE LABORATORY (NPI 1669170882) is a healthcare organization registered as a clinical medical laboratory in Longwood, Florida and active in the NPI registry since February 2023. The organization holds a CLIA Certificate of Compliance certificate valid through November 3, 2027 and lists Jeffrey D Hrush, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669170882
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameRISING TIDE REFERENCE LABORATORY
Location Address495 N HWY 17 92 UNIT 101Longwood, FL 32750-4487
Mailing Address495 N Hwy 17 92 Unit 101Longwood, FL 32750-4487 · (407) 476-1646 · Fax (352) 282-3975
Phone(407) 476-1646
Fax(352) 282-3975
Organization SubpartNo
Authorized OfficialJeffrey D HrushCeo · (407) 476-3667
Enumeration DateFebruary 16, 2023
Last NPPES UpdateApril 28, 20253 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
✔ NPI 1669170882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
495 N HWY 17 92 UNIT 101, Longwood, FL 32750
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2276452

Rising Tide Reference Laboratory, LLC · Longwood, FL
Active · expires Nov 3, 2027
CLIA Number10D2276452
Laboratory TypeIndependent
Certificate Effective DateNovember 4, 2025
Certificate Expiration DateNovember 3, 2027
Laboratory DirectorDr. Vidhya Narayanan
Laboratory Phone(407) 721-3667
Laboratory LocationRising Tide Reference Laboratory, LLC495 N Us Highway 17- 92 Suite 101, Longwood, FL 32750
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by nucleic acid for organism, amplified probe technique 87798
A nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.
2,073 services140 patients
Detection test for candida species (yeast), amplified probe technique 87481
This test helps identify Candida, a type of fungus often present in the human body. An amplified probe technique is used, which enhances detection of the fungus in a sample. This method increases the accuracy of the test, helping to determine the best treatment.
807 services140 patients
Identification of organisms by genetic analysis, amplified probe technique 87150
This procedure involves identifying organisms like bacteria or viruses in your body. It's done by amplifying a small part of their genetic material, making it easier to detect. This technique helps in accurate diagnosis and appropriate treatment.
625 services59 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
181 services123 patients
Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique 87500
The detection test by nucleic acid for vancomycin-resistant strep (VRE) is a laboratory procedure. It uses an amplified probe technique to identify specific genetic material in bacteria. This helps determine if the bacteria are resistant to the antibiotic vancomycin.
153 services121 patients
Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique 87640
A detection test for Staphylococcus aureus uses a method called the amplified probe technique. This method identifies the bacteria's unique genetic material, or nucleic acid, helping to confirm its presence. It's a highly accurate way to detect this type of bacteria.
153 services121 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rising Tide Reference Laboratory's NPI number?

The NPI number for Rising Tide Reference Laboratory is 1669170882. It was assigned to this organization in the NPPES registry on February 16, 2023.

Where is Rising Tide Reference Laboratory located?

Rising Tide Reference Laboratory is located at 495 N Hwy 17 92 Unit 101, Longwood, FL 32750. The listed phone number is (407) 476-1646.

What is Rising Tide Reference Laboratory's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Rising Tide Reference Laboratory hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2276452) is associated with this NPI, valid through November 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rising Tide Reference Laboratory was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.