Organization
PREMIERTOX 2.0 INC.
Active
Parent organization
PREMIERTOX 2.0 INC.
Other names
PremierTox Laboratory-San Antonio
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIERTOX 2.0 INC.
Authorized official
STEVEN E KLIPP (PRESIDENT)
(270) 866-8854
Entity
Organization
Contact information
Practice address
7333 BARLITE BLVD, SUITE 260, SAN ANTONIO, TX 78224-1320
(210) 272-0010
(210) 272-0153
Mailing address
PO BOX 538512, ATLANTA, GA 30353-8512
(502) 226-3858
(502) 223-9829
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/01/2013
Last updated
05/08/2015
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