Provider Demographics
NPI:1154583284
Name:PREMIER HEALTH SCREENING, LLC
Entity type:Organization
Organization Name:PREMIER HEALTH SCREENING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS/ OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:D
Authorized Official - Last Name:WOODWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-948-0141
Mailing Address - Street 1:PO BOX 198
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37032-0198
Mailing Address - Country:US
Mailing Address - Phone:615-945-0082
Mailing Address - Fax:
Practice Address - Street 1:2244 OLD WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TN
Practice Address - Zip Code:37032
Practice Address - Country:US
Practice Address - Phone:615-945-0082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-30
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty
No2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular SonographyGroup - Single Specialty