Organization
PREMIER INTEGRATED MEDICAL ASSOCIATES, LTD
Active
Organization
PREMIER INTEGRATED MEDICAL ASSOCIATES, LTD
Active
Other names
PRIMED LABORATORY
Organization subpart
No
Provider details
NPI number
Authorized official
MARK COUCH M.D. (PRESIDENT)
(937) 898-3600
Entity
Organization
Contact information
Practice address
948 PATTERSON RD, DAYTON, OH 45419-4336
(937) 298-7434
(937) 299-8252
Mailing address
25 MERCHANT ST STE 220, CINCINNATI, OH 45246-3740
(513) 533-1199
(513) 645-9827
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2448788
—
OH
Enumeration date
04/28/2006
Last updated
04/24/2020
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