Organization Active NPI

Premier Lab & Screening LLC

  • Clinical Medical Laboratory
  • Shreveport, LA
National Provider Identifier
1871292649
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PREMIER LAB & SCREENING LLC
Practice address
333 Texas St Ste 1300
Shreveport, LA 71101-3783
Phone
(866) 961-8774
Fax
(318) 543-5994
NPI assigned
Mar 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Tamra Lillie
Title
Business Owner/Ceo
Phone
(866) 961-8774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

333 Texas St Ste 1300
Shreveport, LA 71101-3783

Mailing address

333 Texas St Ste 1300
Shreveport, LA 71101-3783
Phone (866) 961-8774

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1871292649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 TEXAS ST STE 1300",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013783",
            "telephone_number": "866-961-8774",
            "fax_number": "318-543-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 TEXAS ST STE 1300",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013783",
            "telephone_number": "866-961-8774",
            "fax_number": "318-543-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER LAB & SCREENING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "LILLIE",
        "authorized_official_first_name": "TAMRA",
        "authorized_official_title_or_position": "BUSINESS OWNER/CEO",
        "authorized_official_telephone_number": "866-961-8774"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.