Provider Demographics
NPI:1013525286
Name:AMERICAN PREMIER LABS
Entity type:Organization
Organization Name:AMERICAN PREMIER LABS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:PRISCILLA
Authorized Official - Middle Name:RENU
Authorized Official - Last Name:TIGULLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-807-8500
Mailing Address - Street 1:670 W ARAPAHO RD STE 11A
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4213
Mailing Address - Country:US
Mailing Address - Phone:972-807-8500
Mailing Address - Fax:972-807-8600
Practice Address - Street 1:670 W ARAPAHO RD STE 11A
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4213
Practice Address - Country:US
Practice Address - Phone:972-807-8500
Practice Address - Fax:972-807-8600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-14
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical LaboratoryGroup - Multi-Specialty