{"npi":"1396928883","type":"NPI-2","status":"active","name":{"display":"Premier Physicians Centers, INC","other":[],"organization_name":"PREMIER PHYSICIANS CENTERS, INC","authorised_official":"Dick Fintz"},"specialty":{"primary_taxonomy":"291U00000X","primary_taxonomy_description":"Clinical Medical Laboratory","slug":"clinical-medical-laboratory","schema_org_specialty":"Pathology","all":[{"code":"291U00000X","description":"Clinical Medical Laboratory","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"25200 CENTER RIDGE RD","city":"WESTLAKE","state":"OH","postal_code":"441454141","country_code":"US","phone":"4408955057","fax":"4408955050"},{"purpose":"MAILING","street_1":"24500 CENTER RIDGE RD STE 375","city":"WESTLAKE","state":"OH","postal_code":"441455631","country_code":"US","phone":"4408955057","fax":"4408955050"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"3610861","state":null,"issuer":"GROUP ASC"},{"type_code":"01","label":"Other","value":"1396928883","state":null,"issuer":"GROUP NPI"},{"type_code":"01","label":"Other","value":"0119204","state":null,"issuer":"GROUP MEDICAID"},{"type_code":"01","label":"Other","value":"220004287","state":null,"issuer":"RAILROAD MEDICARE GROUP #"},{"type_code":"01","label":"Other","value":"CA4511","state":null,"issuer":"GROUP RR MEDICARE"},{"type_code":"01","label":"Other","value":"D368301","state":null,"issuer":"GROUP LAB MEDICARE #"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20080116000516","type_code":"12-69","type_desc":"PART B SUPPLIER - INDEPENDENT CLINICAL LABORATORY","state":"OH","pac_id":"0345153326"}]},"enumeration_date":"2007-12-07","last_updated":"2020-11-20","_meta":{"source":"NPPES","snapshot_date":"2020-11-20","doc_url":"https://findmynpi.com/api"}}