Provider Demographics
NPI:1922177732
Name:NATIONAL MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:NATIONAL MEDICAL SERVICES INC
Other - Org Name:NMS LABS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:F
Authorized Official - Last Name:RIEDERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:215-657-4900
Mailing Address - Street 1:3701 WELSH ROAD
Mailing Address - Street 2:
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090
Mailing Address - Country:US
Mailing Address - Phone:215-657-4900
Mailing Address - Fax:215-657-2972
Practice Address - Street 1:3701 WELSH ROAD
Practice Address - Street 2:
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090
Practice Address - Country:US
Practice Address - Phone:215-657-4900
Practice Address - Fax:215-657-2972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PALABLICENSE#504291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0720128Medicaid
PA0720128Medicaid