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Premier Diagnostics LLC

Physiological Laboratory in Dallas, TX · enumerated 2017 · authorized official Kenneth Weatherwax, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1528588795

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Registry record

Entity type Organization (Type 2)
Legal business name Premier Diagnostics LLC
Other name <Unavail>
Practice address 3838 Oak Lawn Ave Ste 1420, Dallas, TX, 75219
Phone (888) 482-2334
Enumeration date Jun 20, 2017
Last updated in NPPES Sep 2, 2025

Taxonomy & classification

204R00000X Electrodiagnostic Medicine Physician Allopathic & Osteopathic Physicians Secondary
246ZE0500X EEG Specialist/Technologist Technologists, Technicians & Other Technical Service Providers Secondary
293D00000X Physiological Laboratory Laboratories Primary

Authorized official

Name Kenneth Weatherwax
Title Director
Phone (469) 646-8663

Other identifiers

Identifier Type State Issuer
3875247 Medicaid TX -
104480100 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Premier Diagnostics LLC?
NPPES lists Kenneth Weatherwax (Director) as the authorized official for this organization.
What is the NPI number for Premier Diagnostics LLC?
The NPI for Premier Diagnostics LLC is 1528588795, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-02.