| Organization Name: | PREMIER HEALTH SCREENING, LLC |
| NPI Number: | 1154583284 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID D WOODWARD (DIRECTOR OF OPERATIONS/ OWNER) |
| Mailing Address: | 2244 Old Washington Rd Cedar Hill |
| State: | TN US |
| Postal Code: | 37032 |
| Phone Number: | 6159450082 |
| Fax Number: | |
| NPI Enumeration Date: | 06/30/2008 |
| NPI Last Update Date: | 06/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471V0105X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Vascular Sonography |
| Taxonomy Definition: | |