Organization Active NPI

Certified Healthcare Professionals

  • Clinical Medical Laboratory
  • Havertown, PA
National Provider Identifier
1912912379
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CERTIFIED HEALTHCARE PROFESSIONALS
Practice address
1729 Josie LN
Havertown, PA 19083-1218
Phone
(610) 955-7421
Fax
(866) 446-8819
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Authorized official

Name
Christyne C Price, MHA
Title
Pres/Ceo
Phone
(610) 955-7421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1729 Josie LN
Havertown, PA 19083-1218

Mailing address

PO Box 30
Ardmore, PA 19003
Phone (610) 955-7421

Other identifiers 1

IdentifierTypeStateIssuer
1018507830001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070403000625 PA Part B Supplier - Independent Clinical Laboratory 8628172475 Practice locations: Broomall, PA

National Provider Directory

National Provider Directory

Locations

571 Abbott Dr
Broomall, PA 19008
Phone (484) 479-3991

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1912912379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "19003",
            "telephone_number": "610-955-7421",
            "fax_number": "866-446-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 JOSIE LN",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190831218",
            "telephone_number": "610-955-7421",
            "fax_number": "866-446-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED HEALTHCARE PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "CHRISTYNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "610-955-7421",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018507830001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.