Provider Demographics
NPI:1982772620
Name:PREEMINENT MEDICAL APPLICATIONS, INC.
Entity Type:Organization
Organization Name:PREEMINENT MEDICAL APPLICATIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NYE
Authorized Official - Suffix:
Authorized Official - Credentials:RCPT, RDMS
Authorized Official - Phone:303-840-3718
Mailing Address - Street 1:5928 SADDLE CREEK TRL
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-5307
Mailing Address - Country:US
Mailing Address - Phone:303-840-3718
Mailing Address - Fax:303-840-5361
Practice Address - Street 1:5928 SADDLE CREEK TRL
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-5307
Practice Address - Country:US
Practice Address - Phone:303-840-3718
Practice Address - Fax:303-840-5361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONOT APPLICABLE293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO30783Medicare PIN