Premiere Medical Laboratories P a

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

APPLIED FOR Issued in FL

Legal business name

PREMIERE MEDICAL LABORATORIES P A

Practice address

913 E North Blvd
Leesburg, FL 34748-5364

Phone

(352) 787-6733

Fax

(352) 787-9228

NPI assigned

Feb 5, 2008

Last updated

Dec 4, 2008By 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

Dr. Susan Mary Rendon, MD

Title

President

Phone

(352) 787-6733

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marcelino L Alvarez, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Crystal River, FL
  • NPI 1629039334
  NPD (past)
• Orlando Jose Icaza, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Leesburg, FL
  • NPI 1447259106
  NPD (past)
• Valerie Jeanette Fields, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Greensboro, NC
  • NPI 1043399835
  NPD (past)

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1518145259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 499100",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347499100",
            "telephone_number": "352-787-6733",
            "fax_number": "352-787-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 E NORTH BLVD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485364",
            "telephone_number": "352-787-6733",
            "fax_number": "352-787-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE MEDICAL LABORATORIES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "RENDON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-787-6733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanaia Porter, PTA
• Yoneka Tahisha Powell, ARNP, PMHNP-BC
• Praxis Therapy LLC
• Precision Home Health Care
• Premier Care Homecare, LLC
• Premise Health of Florida Medical PA (Lake County Sheriff Dept)
• Premise Health of Florida Medical PA (Lake Co Schools - Leesburg)
• Helen Marie Preuit, PTA
• Denver Charles Price, RPFT,CRT-NPS,RPFT
• Primary Care Physicians Consulting, Inc

• Clinical Medical Laboratory in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.