PREMIER BIOTECH LABS, LLC (NPI# 1700280971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700280971 |
| Entity Type | Organization |
| Organization Name | PREMIER BIOTECH LABS, LLC |
| Practice Address |
723 Kasota Ave Se Minneapolis MN 55414-2842 |
| Mailing Address |
7516 80th St S Cottage Grove MN 55016-3177 |
| Practice Telephone | 8557186917 |
| Mailing Telephone | (855) 718-6917 |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2017-06-30 |
| Authorized Official Name | MR. TODD M BAILEY (PRESIDENT) |
| Authorized Official Telephone | 9529490729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 24D2065288 | MN | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PREMIER BIOTECH LABS, LLC | 723 Kasota Ave Se, Minneapolis, MN 55414 |
| Street Address |
723 KASOTA AVE SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55414-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1346888732 | Danielle Lee Ann Vogler-bos | Naturopath | 575 Se 9th St, Suite #52, Minneapolis, MN 55414 | 2019-12-16 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1346806585 | Kristen Bastug | Student in an Organized Health Care Education/Training Program | General Pediatrics and Adolescent Health, 1932k, 1717 Delaware Street Southeast, Suite 353, Minneapolis, MN 55414 | 2019-05-14 |
| 1053881698 | Lauren Michelle Scholder | Psychologist | 401 Main St Se Apt 7009, Minneapolis, MN 55414 | 2018-11-27 |
| 1427530666 | Kelli Howard | Psychologist | 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2018-09-04 |
| 1306370218 | Jiexiong Yang | Student in an Organized Health Care Education/Training Program | 814 Essex St Se, Minneapolis, MN 55414 | 2017-04-18 |
| 1598297699 | Patrick Curran | Student in an Organized Health Care Education/Training Program | 628 University Ave Se, Apt. 112, Minneapolis, MN 55414 | 2017-03-29 |
| 1679923957 | Jillian Theresa Tholen | Dietitian, Registered | 411 E Hennepin Ave, Minneapolis, MN 55414 | 2016-06-16 |
| 1073960290 | First Language Interpreter & Translation Services LLC | Interpreter | 2828 University Ave Se Suite 150, Minneapolis, MN 55414 | 2016-05-17 |
| Find all providers in zip 55414 | ||||
| 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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| 1033572607 | Metro Clinical Laboratory, LLC | Clinical Medical Laboratory | 1601 S 4th St, F601, Minneapolis, MN 55454-1170 | 2016-04-01 |
| 1093232167 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 2828 Chicago Ave, Minneapolis, MN 55407-1544 | 2017-08-29 |
| 1972957264 | Metro Clinical Laboratory, LLC | Clinical Medical Laboratory | 312 W Lake St, Minneapolis, MN 55408-4898 | 2016-04-22 |
| 1720462864 | University of Minnesota Health Clinics and Surgery Center, Inc. | Clinical Medical Laboratory | 909 Fulton St Se, Minneapolis, MN 55414-0000 | 2015-07-18 |
| 1467850206 | University of Minnesota Physicians | Clinical Medical Laboratory | 1200 Washington Ave S, Minneapolis, MN 55415-1295 | 2014-12-10 |
| 1275936262 | Children's Health Care | Clinical Medical Laboratory | 2525 Chicago Avenue South, Minneapolis, MN 55404-4518 | 2014-10-03 |
| 1083031439 | Neurology Ltd. | Clinical Medical Laboratory | 420 Delaware Street Se, Minneapolis, MN 55455-0377 | 2014-03-24 |
| 1598924086 | Universal Medical Services Inc | Clinical Medical Laboratory | 1801 Nicollet Ave, Minneapolis, MN 55403-3745 | 2008-06-09 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55414 |
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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.