Provider Demographics
NPI:1528864089
Name:PREMIER IMAGING SOLUTIONS LLC
Entity type:Organization
Organization Name:PREMIER IMAGING SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:LAZAROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-807-6256
Mailing Address - Street 1:PO BOX 21334
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40221-0334
Mailing Address - Country:US
Mailing Address - Phone:502-807-6256
Mailing Address - Fax:
Practice Address - Street 1:1227 GILMORE LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40213-2307
Practice Address - Country:US
Practice Address - Phone:502-807-6256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology