NPI:
1417475872
Provider Name:
PREMIER MEDICAL ASSOCIATES OF FLORIDA LLC
Doing Business As: PIONEER CLINICAL LABS
Classification:
Pathology - 247ZC0005X
Entity Type:
Organization
Specialization: Clinical Laboratory Director, Non-physician
CLIA Number: 10D2123314
Address:
9311 SW HIGHWAY 200 # A2
OCALA, FL
ZIP 34481
Phone:
(352) 362-0627
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PREMIER MEDICAL ASSOCIATES OF FLORIDA LLC is a clinical laboratory director and non-physician pathology in Ocala, FL. The provider is an individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. PREMIER MEDICAL ASSOCIATES OF FLORIDA LLC NPI is 1417475872. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pioneer Clinical Labs.
The provider's business location address is:
9311 SW HIGHWAY 200 # A2
OCALA, FL
ZIP 34481-657
Phone: (352) 362-0627
Fax: (877) 573-9013
The provider's authorized official is Edward R Kop .
The authorized official title is Lab Manager and has the following contact phone number (352) 362-0627.
The CLIA number assigned to this NPI record is 10D2123314 - independent with a certificate type of Certificate of Accreditation.
The enumeration date for this NPI number is 9/6/2017 and was last updated on 3/24/2022.