Active NPI
Premier Diagnostics LLC
- Internal Medicine Physician
- Chandler, AZ
National Provider Identifier
1659199842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PREMIER DIAGNOSTICS LLC
- Practice address
- 3930 S Alma School Rd Ste 1
Chandler, AZ 85248-4510 - Phone
- (480) 788-2847
- NPI assigned
- Sep 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Tom, MD
- Title
- Admin
- Phone
- (480) 788-2847
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3930 S Alma School Rd Ste 1
Chandler, AZ 85248-4510
Mailing address
2820 S Alma School Rd Ste 18
Chandler, AZ 85286-4394
National Provider Directory
National Provider DirectoryLocations
2820 S Alma School Rd
Ste 18
Chandler, AZ 85286
Phone (602) 290-4910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727395200000",
"number": "1659199842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 S ALMA SCHOOL RD STE 18",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852864394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3930 S ALMA SCHOOL RD STE 1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852484510",
"telephone_number": "480-788-2847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-27",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A",
"authorized_official_last_name": "TOM",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "480-788-2847",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
- Claire Elaine Prefontaine, SPEECH THERAPIST
- Kathryn L. Prehoda, RPH
- Jill Prell, PHARM D.
- Premier Anesthesiology LLC
- Premier Cardiovascular Center, PLC
- Premier Orthodontic Specialists PLLC
- Premise Health of Arizona Medical PC
- Premise Health of Arizona Medical PC
- Premium US Land LLC
- Prescott Assisted Living LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.