Provider Demographics
NPI:1376331108
Name:DELAWARE PCR PARTNERS LLC
Entity type:Organization
Organization Name:DELAWARE PCR PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CACCURO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-671-2254
Mailing Address - Street 1:1601 KATER ST APT B
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-2093
Mailing Address - Country:US
Mailing Address - Phone:267-671-2254
Mailing Address - Fax:
Practice Address - Street 1:700 W LEA BLVD STE 104
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19802-2541
Practice Address - Country:US
Practice Address - Phone:267-671-2254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory