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PREMIER BIOTECH LABS LLC NPI 1700280971


NPI Information

NPI: 1700280971
Provider Name: PREMIER BIOTECH LABS, LLC
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 24D2065288

Address:
723 KASOTA AVE SE
MINNEAPOLIS, MN
ZIP 55414
Phone: (855) 718-6917
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PREMIER BIOTECH LABS, LLC is a clinical medical laboratory in Minneapolis, MN. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. PREMIER BIOTECH LABS, LLC NPI is 1700280971. The provider is registered as an organization entity type.

The provider's business location address is:

723 KASOTA AVE SE
MINNEAPOLIS, MN
ZIP 55414-842
Phone: (855) 718-6917

The provider's authorized official is Todd M Bailey .
The authorized official title is President and has the following contact phone number (952) 949-0729.

The CLIA number assigned to this NPI record is 24D2065288 - other with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/17/2014 and was last updated on 6/30/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory24D2065288MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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