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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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