Premier Lab Testing

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PREMIER LAB TESTING

Practice address

9542 Brookline Ave
Suite E
Baton Rouge, LA 70809-1492

Phone

(225) 573-8026

NPI assigned

Sep 12, 2016

Organization subpart

No

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

Authorized official

Name

Calvin BondsNPI 1063960722

Title

Owner

Phone

(225) 270-6647

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Calvin Bonds

  • Contractor
  • Baton Rouge, LA
  • NPI 1063960722
  NPD (past) Authorized official

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1104374891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9542 BROOKLINE AVE",
            "address_2": "SUITE E",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091492",
            "telephone_number": "225-573-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9542 BROOKLINE AVE",
            "address_2": "SUITE E",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091492",
            "telephone_number": "225-573-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER LAB TESTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "BONDS",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-270-6647"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosemary Prejean
• William C Prejean, CRNA
• Prem Menon MD a Medical Corporation
• Premier Credentialing Services, LLC
• Premier Dental Outpatient Surgery and Implant Center
• Premier Mobile Dentistry of VA LLC
• Premier Psychiatric Services, LLC
• Premier Services
• Premier Services of Louisiana
• Premier Servicese of Louisiana

• Clinical Medical Laboratory in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Clinical Medical Laboratory in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.