Organization
PREMIER HEALTH SERVICES INC
Active
Other names
human genetics laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT R PHILLIPS M.D. (PRESIDENT)
(888) 946-8448
Entity
Organization
Contact information
Practice address
444 S 44TH ST, OMAHA, NE 68131-3727
(888) 946-8448
Mailing address
13659 VICTORY BLVD, STE 690, VAN NUYS, CA 91401-1735
(888) 946-8448
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
28D0454363
NE
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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