Active NPI
Professional Technicians Incorporated
- Clinical Medical Laboratory
- Bensalem, PA
National Provider Identifier
1487683058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- PROFESSIONAL TECHNICIANS INCORPORATED
- Practice address
- 3070 Bristol Pike
Suite 102 Building 2
Bensalem, PA 19020-5340 - Phone
- (215) 364-4911
- Fax
- (215) 364-0459
- NPI assigned
- Jul 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wayne Edward Meadows
- Title
- President
- Phone
- (215) 364-4911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
3070 Bristol Pike
Suite 102 Building 2
Bensalem, PA 19020-5340
Mailing address
560 Peoples Plaza
#178
Newark, DE 19702-4798
Phone (215) 364-4911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DE
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110419000624 | PA | Part B Supplier - Independent Clinical Laboratory | 5799960613 | Practice locations: Bensalem, PA |
| O20200109000884 | DE | Part B Supplier - Independent Clinical Laboratory | 5799960613 | Practice locations: Wilmington, DE |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D1104437 | Professional Technicians Inc | Certificate of waiver | Sep 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
550 State Rd
Ste 210
Bensalem, PA 19020
Phone (215) 364-4911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696982400000",
"number": "1487683058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 PEOPLES PLAZA",
"address_2": "#178",
"city": "NEWARK",
"state": "DE",
"postal_code": "197024798",
"telephone_number": "215-364-4911",
"fax_number": "215-364-0459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3070 BRISTOL PIKE",
"address_2": "SUITE 102 BUILDING 2",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190205340",
"telephone_number": "215-364-4911",
"fax_number": "215-364-0459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL TECHNICIANS INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-03",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A",
"authorized_official_last_name": "MEADOWS",
"authorized_official_first_name": "WAYNE",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-364-4911"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bensalem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.