Organization Name: | PREMIER MEDICAL DEVELOPMENT LLC |
NPI Number: | 1295877215 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID PATRICK (MANAGING PARTNER) |
Mailing Address: | 405 E Barbour St Ste 4 Eufaula |
State: | AL US |
Postal Code: | 360271604 |
Phone Number: | 3346160158 |
Fax Number: | |
NPI Enumeration Date: | 02/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 293D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Physiological Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |