Premier Diagnostics LLC
NPI 1528588795ActiveOrganization· Physiological Laboratory· Dallas, TX
Physiological Laboratory in Dallas, Texas, registered in NPPES in June 2017. The authorized official on file is Kenneth Weatherwax, Director. Medicare paid $389,666 for services to 210 patients in 2024.
Overview
| NPI | 1528588795 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 20, 2017 |
| Last updated in NPPES | Sep 2, 2025 |
| Certified by provider | Jun 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
| Electrodiagnostic Medicine | 204R00000X | — | — |
| Specialist/Technologist, Other, EEG | 246ZE0500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 210 |
|---|---|
| Services billed | 696 across 14 procedure codes |
| Paid by Medicare | $389,666 |
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All 36 Physiological Laboratory providers in Dallas · All Physiological Laboratory providers in Texas