Organization Active NPI

Premier Diagnostic Testing LLC

  • Clinic/Center
  • Hialeah, FL
National Provider Identifier
1477782290
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PREMIER DIAGNOSTIC TESTING LLC
Practice address
755 E 49TH St
Suite 6
Hialeah, FL 33013-1907
Phone
(305) 685-0073
Fax
(305) 685-0906
NPI assigned
Jul 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Mr. Carlos I Andreu
Title
President
Phone
(305) 685-0073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

755 E 49TH St
Suite 6
Hialeah, FL 33013-1907

Mailing address

755 E 49TH St
Suite 6
Hialeah, FL 33013-1907
Phone (305) 685-0073

National Provider Directory

National Provider Directory

Locations

755 E 49th St
Ste 6
Hialeah, FL 33013
Phone (305) 685-0073

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1477782290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 E 49TH ST",
            "address_2": "SUITE 6",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131907",
            "telephone_number": "305-685-0073",
            "fax_number": "305-685-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 E 49TH ST",
            "address_2": "SUITE 6",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131907",
            "telephone_number": "305-685-0073",
            "fax_number": "305-685-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DIAGNOSTIC TESTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "ANDREU",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-685-0073",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.