Provider Demographics
NPI:1376592170
Name:CPTA, INC
Entity Type:Organization
Organization Name:CPTA, INC
Other - Org Name:CPTA, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:C
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-231-8804
Mailing Address - Street 1:205 S FRONT ST
Mailing Address - Street 2:BRADY 7
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-1619
Mailing Address - Country:US
Mailing Address - Phone:717-231-8804
Mailing Address - Fax:717-231-8443
Practice Address - Street 1:205 S FRONT ST
Practice Address - Street 2:BRADY 7
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17104-1619
Practice Address - Country:US
Practice Address - Phone:717-231-8864
Practice Address - Fax:717-231-8857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA029717291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA029717OtherSTATE LICENSE
PA39D1050137OtherCMS-CLIA
PA029717OtherSTATE LICENSE