Healthcare Provider Details

I. General information

NPI: 1386605012
Provider Name (Legal Business Name): PREMIER MEDICAL CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 12/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5175 E MAIN ST
COLUMBUS OH
43213-2425
US

IV. Provider business mailing address

PO BOX 789
NORTH OLMSTED OH
44070-0789
US

V. Phone/Fax

Practice location:
  • Phone: 614-575-1200
  • Fax: 614-575-9405
Mailing address:
  • Phone: 440-899-2100
  • Fax: 440-250-0353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateOH

VIII. Authorized Official

Name: DR. RANI LAKHI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 614-575-1200