Organization
PREMIER CLINICAL LABORATORY LLC
Active
Organization
PREMIER CLINICAL LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANZEEM AHMED (OWNER)
(346) 396-1252
Entity
Organization
Contact information
Practice address
115 TWIN OAKS DR APT 212, JOLIET, IL 60431-5020
(346) 396-1252
Mailing address
3170 MAPLELEAF DR APT 804, LEXINGTON, KY 40509-2618
(346) 396-1252
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
07/01/2026
Last updated
08/31/2026
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