Premier Physicians Centers, Inc
Organization Active NPI Clinical Medical Laboratory · Westlake, OH
NPI 1396928883 · NPPES record last updated Nov 20, 2020
Key facts
- NPI
- 1396928883
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- PREMIER PHYSICIANS CENTERS, INC
- Practice address
- 25200 Center Ridge Rd
Westlake, OH 44145-4141 - Phone
- (440) 895-5057
- Fax
- (440) 895-5050
- NPI assigned
- Dec 7, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- PREMIER PHYSICIANS CENTERS, INC.
Authorized official
- Name
- Mr. Dick Fintz
- Title
- Cfo
- Phone
- (440) 895-5056
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 13
Practitioners 71
-
Ibrahim Bshara, MD
-
Isam Diab, MD
-
Basem Haddad, MD
-
Hayder M Kadhim, MD
-
Mohamad Kalash, MD
-
Gasan Nemr, MD
-
Antonios Paras, MD
-
Mohamed Alalwani, M.D.
-
Anita Bhalla, MD
-
Mildred Cardona, MD
-
Angela M Cooke, PT
-
James Thomas Corpus, M.D.
-
Khaleel Deeb, MD
-
Babu Eapen, MD
-
Antony M George, M.D.
-
Bassam Haddad, MD
-
Gheorghe P Ignat, MD
-
Carol Loreen Kelly, NP-C
-
Habib Joseph Khoury, M.D.
-
Kimberly Kraus, MD
-
Eric Kuivinen, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0334618 | Premier Physicians Centers | Certificate of waiver | Dec 22, 2027 |
| 36D0336123 | Premier Physicians Centers, Inc Lab | Accreditation | Dec 22, 2027 |
| 36D0890613 | Premier Physicians Centers Inc | Certificate of waiver | Dec 31, 2026 |
| 36D0935826 | Premier Physicians Centers in | Certificate of waiver | Nov 6, 2027 |
| 36D0971947 | Premier Physicians Centers | Certificate of waiver | Mar 26, 2028 |
| 36D0986194 | Premier Physicians Centers Inc | Certificate of waiver | May 9, 2027 |
| 36D2026418 | Premier Physicians Centers Inc | Certificate of waiver | Jun 29, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080116000516 | OH | Part B Supplier - Independent Clinical Laboratory | 0345153326 | Practice locations: Westlake, OH |
National Provider Directory
- Tax ID family
- M E Sayed MD
- Part of
- M E Sayed MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
25200 Center Ridge Rd
Westlake, OH 44145-4141
Mailing address
24500 Center Ridge Rd Ste 375
Westlake, OH 44145-5631
Phone (440) 895-5057
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3610861 | Other | GROUP ASC | |
| 1396928883 | Other | GROUP NPI | |
| 0119204 | Other | GROUP MEDICAID | |
| 220004287 | Other | RAILROAD MEDICARE GROUP # | |
| CA4511 | Other | GROUP RR MEDICARE | |
| D368301 | Other | GROUP LAB MEDICARE # |
Other providers in Westlake, OH
- Premier Physicians Centers Inc
- Premier Physicians Centers Inc
- Premier Physicians Centers Inc
- Premier Physicians Centers Inc
- Premier Physicians Centers Inc.
- Premier Physicians Centers, Inc
- Premier Physicians Centers, Inc.
- Premier Physicians Centers, Inc.
- Lauren Pressler
- Richard William Pressler
All providers in Westlake, OH · Clinical Medical Laboratory in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.