Primum Services LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PRIMUM SERVICES LLC

Practice address

29858 N Tatum Blvd
Cave Creek, AZ 85331-5865

Phone

(623) 256-4184

NPI assigned

Aug 24, 2016

Organization subpart

No

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

Authorized official

Name

Taylor Wood

Title

Owner

Phone

(623) 256-4184

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1851846497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29858 N TATUM BLVD",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29858 N TATUM BLVD",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315865",
            "telephone_number": "623-256-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMUM SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-256-4184"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Poll, DMD
• Tiffany Porche, MA NCC LPC
• Christi Porter, MS, CCC-SLP
• Kristen Powell, PHARMD
• Primary Care Physicians Group
• Megan Catherine Pruszynski, FNP-BC
• Psychological Sunrise Center, PLLC
• Pure Az Transportation LLC
• Dustin Nyle Putnam, D.M.D.
• Lindsey Anne Pyc, PT, ATC, LMT, CSCS

• Clinical Medical Laboratory in Cave Creek, AZ
• Providers in Cave Creek, AZ by specialty
• Clinical Medical Laboratory in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.