Premier Diagnostics LLC

Physiological Laboratory · Dallas, TX

Organization Active NPI

NPI number 1528588795

Practice location

3838 Oak Lawn Ave Ste 1420
Dallas, TX 75219-4515
Phone
(888) 482-2334

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NPI record

NPI
1528588795
Entity type
Organization (Type 2)
Enumeration date
June 20, 2017
Last updated
September 2, 2025
Certified
June 21, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physiological Laboratory Primary 293D00000X — —
Electrodiagnostic Medicine Physician 204R00000X — —
EEG Specialist/Technologist 246ZE0500X — —

Authorized official

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

Other names

  • Centennial Neurodiagnostics LLC

Other practice locations (1)

  • 450 S Orange Ave Fl 3, Orlando, FL 32801-3394 · (866) 329-8177

About Premier Diagnostics LLC

Premier Diagnostics LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Physiological Laboratory (code 293D00000X). The practice location is 3838 Oak Lawn Ave Ste 1420, Dallas, TX 75219-4515. The NPI number 1528588795 was assigned on June 20, 2017 and the record was last updated on September 2, 2025.

The authorized official for this organization is Kenneth Weatherwax, Director.

Frequently asked questions

What is the NPI number of Premier Diagnostics LLC?

The NPI number is 1528588795.

What is the phone number of Premier Diagnostics LLC?

The phone number listed for the practice location is (888) 482-2334.

Where is Premier Diagnostics LLC located?

3838 Oak Lawn Ave Ste 1420, Dallas, TX 75219-4515.

What is the taxonomy code for Premier Diagnostics LLC?

The primary taxonomy code is 293D00000X – Physiological Laboratory; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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