Provider Demographics
NPI:1003439191
Name:TESTING CENTERS OF AMERICA LLC
Entity Type:Organization
Organization Name:TESTING CENTERS OF AMERICA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF LAB OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SHAILAH
Authorized Official - Middle Name:
Authorized Official - Last Name:YAZDANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-830-0181
Mailing Address - Street 1:201 KING OF PRUSSIA RD STE 501
Mailing Address - Street 2:
Mailing Address - City:RADNOR
Mailing Address - State:PA
Mailing Address - Zip Code:19087-5148
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:411 SWEDELAND RD
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-2716
Practice Address - Country:US
Practice Address - Phone:484-301-6767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DISCOVERY LABS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-22
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory