Organization Active NPI

Delaware PCR Partners LLC

  • Clinical Medical Laboratory
  • Wilmington, DE
National Provider Identifier
1376331108
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DELAWARE PCR PARTNERS LLC
Practice address
700 W Lea Blvd Ste 104
Wilmington, DE 19802-2541
Phone
(267) 671-2254
NPI assigned
Apr 30, 2025
Last updated
Apr 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cindy Marie Caccuro
Title
Owner
Phone
(267) 671-2254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

700 W Lea Blvd Ste 104
Wilmington, DE 19802-2541

Mailing address

1601 Kater St Apt B
Philadelphia, PA 19146-2093
Phone (267) 671-2254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250808003368 DE Part B Supplier - Independent Clinical Laboratory 0941708945 Practice locations: Wilmington, DE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D2325966Delaware PCR Partner700 W Lea Blvd Ste 104, Wilmington, DE 19802ComplianceMar 11, 2028

National Provider Directory

National Provider Directory

Locations

700 W Lea Blvd
Ste 104
Wilmington, DE 19802
Phone (267) 671-2254

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1376331108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 KATER ST APT B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191462093",
            "telephone_number": "267-671-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W LEA BLVD STE 104",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198022541",
            "telephone_number": "267-671-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE PCR PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "CACCURO",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-671-2254"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.