Premier Lab Testing LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PREMIER LAB TESTING LLC

Practice address

6204 S Cooper St Ste 104
Arlington, TX 76001-5709

Phone

(972) 841-2305

NPI assigned

Jan 27, 2022

Last updated

May 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fatima Kamara, DDSNPI 1699020750

Title

Owner

Phone

(972) 841-2305

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Premier Lab Testing LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Premier Lab Testing LLC

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1225784788
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fatima Amy Kamara

  • Dentist
  • Fort Worth, TX
  • NPI 1699020750
  NPD Authorized official

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1225781552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6204 S COOPER ST STE 104",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760015709",
            "telephone_number": "972-841-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6204 S COOPER ST STE 104",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760015709",
            "telephone_number": "972-841-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER LAB TESTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "KAMARA",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-841-2305",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Arlington, TX
• Providers in Arlington, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.