Organization
PREMIER LAB SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONI SUE OLTROGGE (OWNER)
(602) 441-2808
Entity
Organization
Contact information
Practice address
3440 N 16TH ST STE 200, PHOENIX, AZ 85016-7125
(602) 441-2808
(602) 441-5481
Mailing address
3440 N 16TH ST STE 200, PHOENIX, AZ 85016-7125
(602) 441-2808
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/26/2017
Last updated
01/05/2021
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