TESORO LAB – Gastroenterology Physician, NPI 1639593858

Gastroenterology Physician

TESORO LAB is a healthcare provider. based in Fort pierce, Florida. specializing in Gastroenterology Physician. The organization holds a License No. 047323 (FL). The NPI Number for TESORO LAB is 1639593858

Main info

Organization

Name

TESORO LAB

NPI

1639593858

Phone

(772) 595-5988

Address

1811 S 25TH ST

Authorized Official

JOSEPH J KATTA CHIEF OFFICER MD

Enumeration Date

7 February 2014

Last Update Date

7 February 2014

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience38

Completeness80

Years active:12State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for TESORO LAB

1811 S 25TH ST
FORT PIERCE, FL 349474756
Phone: (772) 595-5988
Fax: (772) 595-5989
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34947)

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Reviews

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Frequently asked questions

Does TESORO LAB have a public NPI I can cite?

Public records show TESORO LAB under NPI 1639593858.

Does the public listing show TESORO LAB as active?

TESORO LAB's NPI record reflects an active status in NPPES.

What does the directory say TESORO LAB does?

Insurance directories may phrase it differently, but here TESORO LAB maps to Gastroenterology Physician. Clinical services aligned with this taxonomy classification.

What geographic area is tied to TESORO LAB?

TESORO LAB is associated with Fort Pierce, Florida in the same public data insurers reference.

Can I export TESORO LAB's record?

You can download the official NPPES record; we summarize key fields for readability.