Premier Labs, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PREMIER LABS, LLC

Practice address

1111 W 17TH St
Attn: Jarrad Wagner
Tulsa, OK 74107-1886

Phone

(541) 301-8476

Fax

(541) 708-0949

NPI assigned

Apr 14, 2015

Last updated

Nov 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jesse L Seery

Title

Owner

Phone

(541) 301-8476

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1891181038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E HERSEY ST",
            "address_2": "SUITE # 8",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201200",
            "telephone_number": "541-301-8476",
            "fax_number": "541-708-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W 17TH ST",
            "address_2": "ATTN: JARRAD WAGNER",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741071886",
            "telephone_number": "541-301-8476",
            "fax_number": "541-708-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "SEERY",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-301-8476"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kearan Premdev
• Premier Anesthesia Management Inc
• Premier Community Services
• Premier Community Services
• Premier Community Services
• Premier Medical Inc. (M & M Mobility and Medical)
• Premier MRI of Tulsa, Inc.
• Premier Neurotechnologies, PA
• Premier Orthopedic Specialists of Tulsa
• Premier Pediatric Home Health LLC

• Clinical Medical Laboratory in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinical Medical Laboratory in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.