Organization Active NPI

Permian Premier Health Services Inc

  • Clinical Medical Laboratory
  • Beaumont, TX
National Provider Identifier
1982169603
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PERMIAN PREMIER HEALTH SERVICES INC
Practice address
2929 Calder St Ste 100
Beaumont, TX 77702-1841
Phone
(409) 833-9797
Fax
(409) 839-3174
NPI assigned
Feb 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Authorized official

Name
Jonathan A Demke
Title
Ceo
Phone
(615) 467-1072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2929 Calder St Ste 100
Beaumont, TX 77702-1841

Mailing address

PO Box 277719
Atlanta, GA 30384-7719
Phone (866) 243-7108

Other names 1

  • STEWARD MEDICAL GROUP OF TEXAS Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0921403Permian Premier Health Services, Inc2929 Calder Avenue Suite 100, Beaumont, TX 77702AccreditationOct 7, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1982169603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277719",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303847719",
            "telephone_number": "866-243-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 CALDER ST STE 100",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021841",
            "telephone_number": "409-833-9797",
            "fax_number": "409-839-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMIAN PREMIER HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "DEMKE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-467-1072"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEWARD MEDICAL GROUP OF TEXAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.