Organization
PREMIERTOX 2.0 INC
Active
Parent organization
PREMIERTOX 2.0 INC
Other names
Premiertox Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIERTOX 2.0 INC
Authorized official
STEVEN E KLIPP (PRESIDENT)
(877) 412-8330
Entity
Organization
Contact information
Practice address
128 DANIEL DR, DANVILLE, KY 40422-2527
(877) 412-8330
(844) 982-0300
Mailing address
PO BOX 638995, CINCINNATI, OH 45263-8995
(877) 412-8330
(844) 982-0300
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
200322
KY
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
07/19/2011
Last updated
07/21/2022
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