Premier Integrity Solutions Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

200344 Issued in KY

Legal business name

PREMIER INTEGRITY SOLUTIONS INC

Practice address

660 Lakeway Dr
Suite B
Russell Springs, KY 42642-4179

Phone

(270) 866-3762

Fax

(270) 866-3793

NPI assigned

Mar 26, 2013

Organization subpart

No

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

Authorized official

Name

Angela S Ragle

Title

Chief Financial Officer

Phone

(270) 866-3144

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1992047179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2279",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426422279",
            "telephone_number": "270-866-3762",
            "fax_number": "270-866-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 LAKEWAY DR",
            "address_2": "SUITE B",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426424179",
            "telephone_number": "270-866-3762",
            "fax_number": "270-866-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INTEGRITY SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "RAGLE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "270-866-3144"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KY",
            "license": "200344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810026106",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0158089",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100245710",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stevie Austin Paiz, LPCA
• John Ray Partin, ARNP
• Mackenzie Coleman Pelphrey
• Latisha Ann Popplewell, NP-C
• Posh Wellness
• Premiertox, Inc.
• Lacey Pritchard, M.S, CCC-SLP
• Dewey Rains, LCSW
• Redd Road Enterprises, Inc.
• Sara Redmon Poynter, MS CCC/SLP

• Clinical Medical Laboratory in Russell Springs, KY
• Providers in Russell Springs, KY by specialty
• Clinical Medical Laboratory in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.