Premiertox, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PREMIERTOX, INC.

Practice address

2431 Lakeway Drive
Suite A1
Russell Springs, KY 42642

Phone

(270) 866-3144

NPI assigned

Oct 14, 2010

Organization subpart

No

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

Authorized official

Name

Brian Walters

Title

President

Phone

(270) 866-3144

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1801106620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1240",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426421240",
            "telephone_number": "270-866-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 LAKEWAY DRIVE",
            "address_2": "SUITE A1",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "42642",
            "telephone_number": "270-866-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERTOX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-866-3144"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Ray Partin, ARNP
• Mackenzie Coleman Pelphrey
• Latisha Ann Popplewell, NP-C
• Posh Wellness
• Premier Integrity Solutions Inc
• Lacey Pritchard, M.S, CCC-SLP
• Dewey Rains, LCSW
• Redd Road Enterprises, Inc.
• Sara Redmon Poynter, MS CCC/SLP
• Sarah Joy Richards

• Clinical Medical Laboratory in Russell Springs, KY
• Providers in Russell Springs, KY by specialty
• Clinical Medical Laboratory in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.