Provider Demographics
NPI:1336962570
Name:PREMIER LABS LLC.
Entity type:Organization
Organization Name:PREMIER LABS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CIARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HASKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-524-3553
Mailing Address - Street 1:2567 ALLEN TOUSSAINT BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-5561
Mailing Address - Country:US
Mailing Address - Phone:866-524-3553
Mailing Address - Fax:866-745-3939
Practice Address - Street 1:2567 ALLEN TOUSSAINT BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70122-5561
Practice Address - Country:US
Practice Address - Phone:866-524-3553
Practice Address - Fax:866-745-3939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory