Provider Demographics
NPI:1790975720
Name:C & P TESTING, INC.
Entity Type:Organization
Organization Name:C & P TESTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:OKSANA
Authorized Official - Middle Name:A
Authorized Official - Last Name:WOJDAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-357-6644
Mailing Address - Street 1:129 KITTY KNIGHT DR
Mailing Address - Street 2:
Mailing Address - City:CHURCHVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18966-1132
Mailing Address - Country:US
Mailing Address - Phone:215-357-6644
Mailing Address - Fax:215-357-6644
Practice Address - Street 1:538 STREET RD
Practice Address - Street 2:SUITE 201
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-3790
Practice Address - Country:US
Practice Address - Phone:215-357-6644
Practice Address - Fax:215-357-6644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-26
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA000425291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA301625Medicare PIN