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Organization

CPTA, INC

Active
Other names
CPTA, INC
Organization subpart
No

Provider details

NPI number
Authorized official
HAROLD C YANG M.D. (MEDICAL DIRECTOR)
(717) 231-8804
Entity
Organization

Contact information

Practice address
205 S FRONT ST, BRADY 7, HARRISBURG, PA 17104-1619
(717) 231-8864
(717) 231-8857
Mailing address
205 S FRONT ST, BRADY 7, HARRISBURG, PA 17104-1619
(717) 231-8804
(717) 231-8443

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
029717
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029717
STATE LICENSE
PA
01
39D1050137
CMS-CLIA
PA
Enumeration date
05/09/2006
Last updated
10/09/2014
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