Organization Active NPI

Premier Clinical Laboratory LLC

  • Clinical Medical Laboratory
  • Lexington, KY
National Provider Identifier
1023935970
Registry record updated Oct 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PREMIER CLINICAL LABORATORY LLC
Practice address
3499 Blazer Pkwy Ste 330
Lexington, KY 40509-2828
Phone
(346) 396-1252
NPI assigned
Jul 1, 2026
Last updated
Oct 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tanzeem Ahmed
Title
Owner
Phone
(346) 396-1252

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3499 Blazer Pkwy Ste 330
Lexington, KY 40509-2828

Mailing address

3499 Blazer Pkwy Ste 330
Lexington, KY 40509-2828
Phone (346) 396-1252

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793318400000",
    "number": "1023935970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 BLAZER PKWY STE 330",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092828",
            "telephone_number": "346-396-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 BLAZER PKWY STE 330",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092828",
            "telephone_number": "346-396-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CLINICAL LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "TANZEEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-396-1252"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.