| NPI | 1205124674 |
|---|---|
| Doing Business As | PREMIERTOX LABORATORY |
| Entity Type | Organization |
| Authorized Contact | STEVEN E KLIPP President 877-412-8330 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KY 200322) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2022-07-21 |