NPIMap

Organization Active NPI

Premiertox 2 0 LLC

  • Clinical Medical Laboratory
  • Lexington, KY
National Provider Identifier
1174886956
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PREMIERTOX 2 0 LLC
Practice address
3221 Summit Square PL
Lexington, KY 40509-2653
Phone
(859) 368-9504
Fax
(859) 368-9503
NPI assigned
Jun 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Authorized official

Name
Eric A. Duncan
Title
Chief Executive Officer
Phone
(859) 368-9504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3221 Summit Square PL
Lexington, KY 40509-2653

Mailing address

PO Box 1038
Frankfort, KY 40602-1038
Phone (502) 226-3858

National Provider Directory

National Provider Directory
Tax ID family
Premiertox Lab Albany4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1174886956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1038",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406021038",
            "telephone_number": "502-226-3858",
            "fax_number": "502-223-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 SUMMIT SQUARE PL",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092653",
            "telephone_number": "859-368-9504",
            "fax_number": "859-368-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERTOX 2 0 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "859-368-9504"
    },
    "taxonomies": [
        {
            "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 Jun 18, 2012; 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.