PREMIERTOX 2.0 INC. (NPI# 1649671827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649671827 |
| Entity Type | Organization |
| Organization Name | PREMIERTOX 2.0 INC. |
| Practice Address |
150 W Bear Track Rd Campbellsville KY 42718-8709 |
| Mailing Address |
Po Box 538512 Atlanta GA 30353-8512 |
| Practice Telephone | 2708583343 |
| Mailing Telephone | 5022263858 |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2015-05-08 |
| Authorized Official Name | STEVEN E KLIPP (PRESIDENT) |
| Authorized Official Telephone | 2708668854 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | KY | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578908869 | Premiertox 2.0 Inc. | Clinical Medical Laboratory | 7333 Barlite Blvd, Suite 260, San Antonio, TX 78224-1320 | 2013-05-01 |
| 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 |
150 W BEAR TRACK RD |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip Code | 42718-8709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215919451 | Jerome Anthony Dixon | Neuromusculoskeletal Medicine & OMM | 150 W Bear Track Rd, Campbellsville, KY 42718-8709 | 2005-11-15 |
| 1235695677 | Lori Ann Jackson | Nurse Practitioner | 150 W Bear Track Rd, Campbellsville, KY 42718-8709 | 2019-02-11 |
| 1750785150 | Jerome Anthony Dixon D O P S C | Nurse Practitioner | 150 W Bear Track Rd, Campbellsville, KY 42718-8709 | 2014-10-14 |
| 1942540984 | Crossroads Family Medicine | Preventive Medicine | 150 W Bear Track Rd, Campbellsville, KY 42718-8709 | 2013-02-28 |
| 1508932955 | Jerome Anthony Dixon D O P S C | Nurse Practitioner | 150 W Bear Track Rd, Campbellsville, KY 42718-8709 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619417763 | Heather Hastings | Dentist | 2065 Meadow Creek Rd, Campbellsville, KY 42718 | 2017-03-07 |
| 1487101804 | Amanda Rose Shepperd | Nurse Practitioner | 1846-1856 Old Lebanon Rd, Campbellsville, KY 42718 | 2016-09-01 |
| 1841660305 | Forefront Dermatology, S.c. | Dermatology | 105 Medical Park Dr Ste 1, Campbellsville, KY 42718 | 2015-09-28 |
| 1154790616 | Viktoria Krell | Counselor | 3020 Old Lebanon Road, Campbellsville, KY 42718 | 2015-09-15 |
| 1679977649 | Joy Trotter | Occupational Therapist | 121a Casey Street, Campbellsville, KY 42718 | 2014-10-20 |
| 1083022727 | Taylor Regional Medical Group, LLC | Physical Therapist | 73 Kingswood Dr Ste B, Campbellsville, KY 42718 | 2014-07-25 |
| 1235574831 | Rachael Maia Yates | Clinical Neuropsychologist | 50 Gene Cash Road, Campbellsville, KY 42718 | 2013-05-08 |
| 1255536579 | Elizabethtown Physical Therapy Psc | Clinic/Center | 315 East Broadway, Campbellsville, KY 42718 | 2007-06-18 |
| 1508900283 | Lake Cumberland District Health Department | Public Health or Welfare | 1880 N Bypass Road, Campbellsville, KY 42718 | 2007-02-16 |
| 1871639005 | Joseph William Segree | Optometrist | 725 Campbellsville Bypass, Campbellsville, KY 42718 | 2007-01-29 |
| Find all providers in zip 42718 | ||||
| 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. |
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| 1114435492 | Dx Solutions, LLC | Clinical Medical Laboratory | 110 Dewey Dr Ste A, Nicholasville, KY 40356-7124 | 2018-01-20 |
| Find all providers with the same taxonomy | ||||
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
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| 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.