Premier Genomics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PREMIER GENOMICS LLC

Practice address

250 Ed English Dr Ste D
Shenandoah, TX 77385-8019

Phone

(936) 231-8027

NPI assigned

Sep 24, 2018

Organization subpart

No

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

Authorized official

Name

Adrianna Villarreal

Title

Manager

Phone

(214) 295-6703

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1407330574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7979",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773877979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 ED ENGLISH DR STE D",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858019",
            "telephone_number": "936-231-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER GENOMICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "ADRIANNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-295-6703"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasa Popovic, M.D.
• Angel M Porter, RN
• Lauren Casey Pradilla, PT, DPT
• Sameer Prakash, D.O.
• Premier General and Colorectal Surgery, PA
• Premier Pathology Lab, LLC
• Procura Pain and Spine, PLLC
• James Craig Puett, MS, OTR, CHT
• Michelle Pulpan, NP
• Anisha Pumphrey, CCMA, DOULA

• Clinical Medical Laboratory in Shenandoah, TX
• Providers in Shenandoah, 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 Sep 24, 2018; 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.