Provider Demographics
NPI:1912912379
Name:CERTIFIED HEALTHCARE PROFESSIONALS
Entity type:Organization
Organization Name:CERTIFIED HEALTHCARE PROFESSIONALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTYNE
Authorized Official - Middle Name:C
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:610-955-7421
Mailing Address - Street 1:PO BOX 30
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003
Mailing Address - Country:US
Mailing Address - Phone:610-955-7421
Mailing Address - Fax:866-446-8819
Practice Address - Street 1:1729 JOSIE LN
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-1218
Practice Address - Country:US
Practice Address - Phone:610-955-7421
Practice Address - Fax:866-446-8819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1018507830001Medicaid
PA1018507830001Medicaid