Premium Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PREMIUM DIAGNOSTICS LLC

Practice address

2664 Cypress Ridge Blvd
Ste 101
Wesley Chapel, FL 33544-6325

Phone

(813) 379-3084

NPI assigned

May 3, 2017

Organization subpart

No

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

Authorized official

Name

Arun Ramabadran

Title

Ceo

Phone

(813) 379-3084

Specialties & licenses 1

Addresses

Other names 1

• Premium Diagnostics Doing business as

Locations

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1902332463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S KINGS AVE",
            "address_2": "STE 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2664 CYPRESS RIDGE BLVD",
            "address_2": "STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446325",
            "telephone_number": "813-379-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "RAMABADRAN",
        "authorized_official_first_name": "ARUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-379-3084"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premium Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Morgan D Prezzano, SLP
• Margaret Mary Price, LCSW
• Jennifer Pricher, ARNP

• Clinical Medical Laboratory in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.