Provider Demographics
NPI:1265236715
Name:PRIME TESTING SOLUTIONS
Entity type:Organization
Organization Name:PRIME TESTING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CT PHLEBOTOMIST/CERTIFIED COLLECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAKEVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-630-2203
Mailing Address - Street 1:3362A SSW LOOP 323
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-9222
Mailing Address - Country:US
Mailing Address - Phone:903-630-2203
Mailing Address - Fax:
Practice Address - Street 1:3362A SSW LOOP 323
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-9222
Practice Address - Country:US
Practice Address - Phone:903-630-2203
Practice Address - Fax:972-440-1831
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRIME TESTING SOLUTIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center