PREMIERTOX 2.0 INC. (NPI# 1578908869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578908869 |
| Entity Type | Organization |
| Organization Name | PREMIERTOX 2.0 INC. |
| Other Organization Name | PREMIERTOX LABORATORY-SAN ANTONIO |
| Practice Address |
7333 Barlite Blvd Suite 260 San Antonio TX 78224-1320 |
| Mailing Address |
Po Box 538512 Atlanta GA 30353-8512 |
| Practice Telephone | 2102720010 |
| Practice Fax Number | 2102720153 |
| Mailing Telephone | 5022263858 |
| Mailing Fax Number | 5022239829 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2015-05-08 |
| Authorized Official Name | STEVEN E KLIPP (PRESIDENT) |
| Authorized Official Telephone | 2708668854 |
| Is Organization Subpart | Y |
| Parent Organization Name | PREMIERTOX 2.0 INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| PremierTox Laboratory-San Antonio | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649671827 | Premiertox 2.0 Inc. | Clinical Medical Laboratory | 150 W Bear Track Rd, Campbellsville, KY 42718-8709 | 2014-09-08 |
| 1023306347 | Premiertox 2.0 Inc. | Clinical Medical Laboratory | 2431 Lakeway Drive, Suite 17a-1, Russell Springs, KY 42642-4510 | 2011-07-20 |
| 1619265071 | Premiertox 2.0 Inc. | Clinical Medical Laboratory | 1814 Cumberland Ave, Middlesboro, KY 40965-1229 | 2011-07-19 |
| Street Address |
7333 BARLITE BLVD SUITE 260 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78224-1320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063483691 | Us Health Facilities Development | Physical Therapist | 7333 Barlite Blvd, Suite 250, San Antonio, TX 78224-1320 | 2006-01-31 |
| 1770954968 | Jose Enrique Luna | Massage Therapist | 7333 Barlite Blvd, Suite 310, San Antonio, TX 78224-1320 | 2015-10-13 |
| 1275964579 | Paul Castillo | Physical Therapist | 7333 Barlite Blvd, San Antonio, TX 78224-1320 | 2013-12-12 |
| 1487938882 | Gilberto Everett Jr. | Pharmacist | 7333 Barlite Blvd, Suite 150, San Antonio, TX 78224-1320 | 2011-10-04 |
| 1093015372 | Joanne C Fazio-gosser | Pharmacist | 7333 Barlite Blvd, San Antonio, TX 78224-1320 | 2010-11-02 |
| 1932428000 | Om Foot and Ankle Corp | Podiatrist | 7333 Barlite Blvd, Suite 110, San Antonio, TX 78224-1320 | 2010-05-27 |
| 1194053306 | Ivelisse Zayas | Pharmacist | 7333 Barlite Blvd, Suite 150, San Antonio, TX 78224-1320 | 2009-11-28 |
| 1417182122 | Eye Management, LLC | Durable Medical Equipment & Medical Supplies | 7333 Barlite Blvd, Suite 401, San Antonio, TX 78224-1320 | 2009-05-26 |
| 1710176243 | South Texas Foot Institute, P.a. | Podiatrist | 7333 Barlite Blvd, Suite 380, San Antonio, TX 78224-1320 | 2007-10-22 |
| 1457568073 | Elaine Marcel Duet-lee | Contractor | 7333 Barlite Blvd, Suite 250, San Antonio, TX 78224-1320 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215222 | Caleb Paul Cruz | Physical Therapy Assistant | 98 Briggs Ave, Ste 990, San Antonio, TX 78224 | 2020-11-04 |
| 1770124984 | Lillian Cerritos | Physical Therapist | 7719 I-35 S. #213, San Antonio, TX 78224 | 2019-09-30 |
| 1730606211 | Stephanie Hernandez | Physical Therapy Assistant | 2227 Sundrop Bay, San Antonio, TX 78224 | 2017-08-25 |
| 1770012155 | Pedro Daniel Godoy Sr. | Technician | 9422 Hindi St., San Antonio, TX 78224 | 2017-06-08 |
| 1417408642 | Lynda Marie Perez | Specialist/Technologist | 98 Briggs Ave #990, San Antonio, TX 78224 | 2016-10-24 |
| 1679933832 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 8731 Poteet Jourdanton Freeway, San Antonio, TX 78224 | 2016-03-02 |
| 1699157495 | Samantha Gonzalez | Obstetrics & Gynecology | 7430 Barlite Blvd Ste 105, San Antonio, TX 78224 | 2015-06-29 |
| 1043601206 | Abraham A Alecozay Md Pa Phd | Obstetrics & Gynecology | 7430 Barlite Suite 105, San Antonio, TX 78224 | 2015-02-10 |
| 1265846794 | Ashley Arellano | Speech-Language Pathologist | 98 Briggs Avenue, Suite 990, San Antonio, TX 78224 | 2014-06-12 |
| 1912310244 | Jose Angel Musquiz Jr. | Massage Therapist | 7423 Yarrow Blvd Apt 3107, San Antonio, TX 78224 | 2014-06-04 |
| Find all providers in zip 78224 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276661 | Utc Investments, LLC | Clinical Medical Laboratory | 4737 College Park Ste 105, San Antonio, TX 78249-4018 | 2020-08-19 |
| 1336758952 | Labtech Diagnostics, LLC | Clinical Medical Laboratory | 12902 Flagship, San Antonio, TX 78247-3473 | 2020-07-29 |
| 1871101808 | Advanced Diagnostic Laboratory | Clinical Medical Laboratory | 1077 Central Pkwy S Ste 200, San Antonio, TX 78232-5034 | 2020-07-15 |
| 1013530682 | Odl Analytical | Clinical Medical Laboratory | 2558 Boardwalk St, San Antonio, TX 78217-4417 | 2020-05-18 |
| 1164044392 | H-e-b, Lp | Clinical Medical Laboratory | 14325 Potranco Rd, San Antonio, TX 78253 | 2020-05-11 |
| 1346891991 | H-e-b, Lp | Clinical Medical Laboratory | 6520 Fratt Rd Ste 110, San Antonio, TX 78218-4402 | 2019-09-25 |
| 1083261622 | Geneus Health | Clinical Medical Laboratory | 16120 College Oak Ste 104, San Antonio, TX 78249-4044 | 2019-08-19 |
| 1003462029 | Alpha Medical Labs Limited Liability Company | Clinical Medical Laboratory | 10819 Nacogdoches Rd, San Antonio, TX 78217-2850 | 2019-08-15 |
| 1700368222 | Bexar Imaging Center, LLC | Clinical Medical Laboratory | 25 Ne Loop 410 Ste 121a, San Antonio, TX 78216-5898 | 2018-08-31 |
| 1386138873 | Pcr Diagnostics LLC | Clinical Medical Laboratory | 8812 Broadway St Ste B, San Antonio, TX 78217 | 2018-06-18 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78224 |
Please comment or provide details below to improve the information on PREMIERTOX 2.0 INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.