PREMIER CHOICE MEDICAL LAB PLLC NPI 1528710779

NPI Information

NPI: 1528710779
Provider Name: PREMIER CHOICE MEDICAL LAB PLLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 45D2237088

Address:
3701 S LANCASTER RD
DALLAS, TX
ZIP 75216
Phone: (817) 217-1880
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PREMIER CHOICE MEDICAL LAB PLLC is a health service clinic center in Dallas, TX. PREMIER CHOICE MEDICAL LAB PLLC NPI is 1528710779. The provider is registered as an organization entity type.

The provider's business location address is:

3701 S LANCASTER RD
DALLAS, TX
ZIP 75216-630
Phone: (817) 217-1880

The provider's authorized official is Shelia Denise Jones .
The authorized official title is Owner/ceo and has the following contact phone number (817) 217-1880.

The CLIA number assigned to this NPI record is 45D2237088 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2022 and was last updated on 1/19/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

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

NPI Synchronization or Removal

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