Premier Lab Solutions

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PREMIER LAB SOLUTIONS

Practice address

3440 N 16TH St Ste 200
Phoenix, AZ 85016-7125

Phone

(602) 441-2808

Fax

(602) 441-5481

NPI assigned

Jan 26, 2017

Last updated

Jan 5, 2021By 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

Joni Sue Oltrogge

Title

Owner

Phone

(602) 441-2808

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Premier Wound Solutions LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1205546967
  NPPES parent name

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1487191573",
    "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": "602-441-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 N 16TH ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167125",
            "telephone_number": "602-441-2808",
            "fax_number": "602-441-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER LAB SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "OLTROGGE",
        "authorized_official_first_name": "JONI",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-441-2808"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Health & Wellness, LLC
• Premier Home Health Inc
• Premier Hospice and Palliative Care, LLC
• Premier Hospice LLC
• Premier Innovative Care Services
• Premier Medical Integration LLC
• Premier Medical, Inc.
• Premier Mental Health Services
• Premier OBGYN LLC
• Premier Orthotics and Braces LLC

• Clinical Medical Laboratory in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Medical Laboratory in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.