Provider Demographics
NPI:1003221904
Name:NATIONAL PREMIER LABORATORIES INC
Entity Type:Organization
Organization Name:NATIONAL PREMIER LABORATORIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:C
Authorized Official - Last Name:BERINHOUT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-506-1800
Mailing Address - Street 1:210 MEDICAL BLVD
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-5086
Mailing Address - Country:US
Mailing Address - Phone:770-506-9985
Mailing Address - Fax:770-506-9982
Practice Address - Street 1:210 MEDICAL BLVD
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-5086
Practice Address - Country:US
Practice Address - Phone:770-506-9985
Practice Address - Fax:770-506-9982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-30
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory