Premium Lab Services LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PREMIUM LAB SERVICES LLC

Practice address

14468 Midway Rd
Dallas, TX 75244-3509

Phone

(945) 229-0381

NPI assigned

Apr 2, 2024

Organization subpart

No

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

Authorized official

Name

David M Carr

Title

Owner

Phone

(917) 515-7500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1578315727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14468 MIDWAY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14468 MIDWAY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443509",
            "telephone_number": "945-229-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM LAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-515-7500"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise 1 Medical Holding LLC
• Premise Health of Texas Medical P a (Premise Health Clinic)
• Premise Health of Texas Medical PA (AT & T Health and Wellness Center)
• Premise Health of Texas Medical PA (Ross Avenue Health Center)
• Premise Health of Texas Medical PA (TESS - Dallas)
• Jennifer Urbani Premo, EDDIAGNOSTICIANMED
• Irving David Prengler, MD
• Rebecca Prengler, MD
• Yosef Presburger
• Presbyterian Apothecary

• Clinical Medical Laboratory in Dallas, TX
• Providers in Dallas, 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 Apr 2, 2024; 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.