Premier Wound Solutions LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PREMIER WOUND SOLUTIONS LLC

Practice address

3440 N 16TH St
Phoenix, AZ 85016-7125

Phone

(602) 441-2808

NPI assigned

Dec 2, 2022

Last updated

Dec 2, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

PREMIER LAB SOLUTIONSAs reported in NPPES

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

Authorized official

Name

Mr. Peter Simmons

Title

Chief Operating Officer

Phone

(781) 626-1212

Specialties & licenses 1

Addresses

Part of

Premier Lab Solutions

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Premier Lab Solutions

  • Clinical Medical Laboratory
  • Phoenix, AZ
  • NPI 1487191573
  NPPES parent name

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1205546967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 N 16TH ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167125",
            "telephone_number": "602-441-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167125",
            "telephone_number": "602-441-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WOUND SOLUTIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER LAB SOLUTIONS",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "781-626-1212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Pain Surgery Center, LLC
• Premier Physical Therapy Az, LLC
• Premier Surgical Suites LLC
• Premier Therapy Az, LLC
• Premier Wound Care Az LLC
• Premiere Medical Consultants
• Premise Health of Arizona Medical PC (Healthier You Clinic)
• Premise Health of Arizona Medical PC (Premise Health Care Center)
• Premise Health of Arizona Medical PC (PGTI Wellness Center)
• Premise Health of Arizona Medical PC (USAA Phoenix)

• Multi-Specialty Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Multi-Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.