Premier Diagnostics of Virginia

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0206010011 Issued in VA

Legal business name

PREMIER DIAGNOSTICS OF VIRGINIA

Practice address

430 Southlake Blvd Ste B11
North Chesterfield, VA 23236-3065

Phone

(804) 378-6009

Fax

(804) 378-6187

NPI assigned

Dec 19, 2012

Organization subpart

No

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

Authorized official

Name

Marvet L Powell, RRT, RPSGT

Title

Director

Phone

(804) 378-3713

Specialties & licenses 2

Addresses

Other names 1

• Premier Cpap Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Premier Diagnostics of Virginia Inc

  • Oxygen Equipment & Supplies (DME)
  • Newport News, VA
  • NPI 1548806003
  NPPES parent name

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1114263134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 SOUTHLAKE BLVD STE B11",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363065",
            "telephone_number": "804-378-3713",
            "fax_number": "804-594-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 SOUTHLAKE BLVD STE B11",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363065",
            "telephone_number": "804-378-6009",
            "fax_number": "804-378-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DIAGNOSTICS OF VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "MARVET",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "804-378-3713",
        "authorized_official_credential": "RRT, RPSGT"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0206010011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Cpap",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Faith Price
• Pamela Price
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• Durable Medical Equipment & Medical Supplies in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.