Provider Demographics
NPI:1487683058
Name:PROFESSIONAL TECHNICIANS INCORPORATED
Entity Type:Organization
Organization Name:PROFESSIONAL TECHNICIANS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:MEADOWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-364-4911
Mailing Address - Street 1:560 PEOPLES PLAZA
Mailing Address - Street 2:#178
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-4798
Mailing Address - Country:US
Mailing Address - Phone:215-364-4911
Mailing Address - Fax:215-364-0459
Practice Address - Street 1:3070 BRISTOL PIKE
Practice Address - Street 2:SUITE 102 BUILDING 2
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-5340
Practice Address - Country:US
Practice Address - Phone:215-364-4911
Practice Address - Fax:215-364-0459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory