Provider Demographics
NPI:1669523999
Name:NU-TEK DIAGNOSTIC LABORATORIES INC.
Entity type:Organization
Organization Name:NU-TEK DIAGNOSTIC LABORATORIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ASIM
Authorized Official - Middle Name:
Authorized Official - Last Name:NIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-741-6000
Mailing Address - Street 1:900 TOWN CENTER DR
Mailing Address - Street 2:SUITE H-100
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-3244
Mailing Address - Country:US
Mailing Address - Phone:215-741-6000
Mailing Address - Fax:215-741-6076
Practice Address - Street 1:900 TOWN CENTER DR
Practice Address - Street 2:SUITE H-100
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-3244
Practice Address - Country:US
Practice Address - Phone:215-741-6000
Practice Address - Fax:215-741-6076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA027554291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA072190Medicare ID - Type Unspecified