Premier Pathology Laboratories Inc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

PREMIER PATHOLOGY LABORATORIES INC

Practice address

1401 Garces Hwy
Delano, CA 93215-3690

Phone

(559) 781-5174

NPI assigned

Apr 4, 2006

Organization subpart

No

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

Authorized official

Name

Debra Hanks, MD

Title

President

Phone

(559) 781-5174

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Premier Pathology Laboratories Inc

  • Clinical Medical Laboratory
  • Porterville, CA
  • NPI 1801858964

  O20040428000934

  Same enrollment

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yao X Schmidt, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Porterville, CA
  • NPI 1942443585
  NPD (past)
• Jue-Rong Zhang, M.D.

  • Anatomic Pathology Physician
  • Tulare, CA
  • NPI 1013938760
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1508828658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10076",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914100076",
            "telephone_number": "805-578-8300",
            "fax_number": "805-578-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 GARCES HWY",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932153690",
            "telephone_number": "559-781-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PATHOLOGY LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "HANKS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-781-5174",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Cytopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0101400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Positive Directions, Inc.
• Positive Directions, Inc.
• Positive Lifestyles LLC
• Positive Lifestyles, LLC
• John Postgate, EIN-
• Aszad Ken Prettipaul, PSYD
• Priti Patel Inc
• Pro Scan Medical Imaging LLC
• Denisha Latoya Profit
• Malayah Jewell Qualls

• Anatomic Pathology & Clinical Pathology Physician in Delano, CA
• Providers in Delano, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.