Provider Demographics
NPI:1346291986
Name:PARKWAY CLINICAL LABORATORIES, INC.
Entity Type:Organization
Organization Name:PARKWAY CLINICAL LABORATORIES, INC.
Other - Org Name:ALMARC CORPORATION
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MASOOD
Authorized Official - Middle Name:
Authorized Official - Last Name:HAIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-245-5112
Mailing Address - Street 1:3494 PROGRESS DRIVE
Mailing Address - Street 2:STE D
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-5815
Mailing Address - Country:US
Mailing Address - Phone:215-245-5112
Mailing Address - Fax:215-245-5241
Practice Address - Street 1:3494 PROGRESS DRIVE
Practice Address - Street 2:STE D
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-5815
Practice Address - Country:US
Practice Address - Phone:215-245-5112
Practice Address - Fax:215-245-5241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA000250291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000250OtherPA DEPT. OF HEALTH
PA39D0195602OtherCLIA
PA0007131410004Medicaid
PA000250OtherPA DEPT. OF HEALTH