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PREMIER PEDIATRICS LLC
NPI 1083195762
Clinic/Center - Multi-Specialty in Saint Louis, MO

Active since August 22, 2018CLIA 26D2156056 · Waiver
5114 MID AMERICA PLZ STE 2C, SAINT LOUIS, MO 63129(314) 859-4000(314) 273-4110 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2023, Aug 22, 2018 (2 updates tracked since 2018).

About Premier Pediatrics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER PEDIATRICS LLC (NPI 1083195762) is a healthcare organization registered as a multi-specialty in Saint Louis, Missouri and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through October 9, 2026 and lists Cathy Eghigian, Senior Director Wu Managed Care, as its authorized official.

NPPES Registry Identity

NPI1083195762
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMIER PEDIATRICS LLC
Location Address5114 MID AMERICA PLZ STE 2CSaint Louis, MO 63129-0003
Mailing AddressPo Box 7412051Chicago, IL 60674-2011 · (314) 859-4000 · Fax (314) 859-4001
Phone(314) 859-4000
Fax(314) 273-4110
Organization SubpartNo
Authorized OfficialCathy EghigianSenior Director Wu Managed Care · (314) 273-0770
Enumeration DateAugust 22, 2018
Last NPPES UpdateApril 29, 20252 updates tracked since enumeration
NPPES CertifiedApril 29, 2025
✔ NPI 1083195762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
5114 MID AMERICA PLZ STE 2C, Saint Louis, MO 63129
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Other Names 1

Other NamePremier Pediatrics

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2156056

Premier Pediatrics · Saint Louis, MO
Active · expires Oct 9, 2026
CLIA Number26D2156056
Laboratory TypePhysician Office
Certificate Effective DateOctober 10, 2024
Certificate Expiration DateOctober 9, 2026
Laboratory DirectorSandeep Rohatgi
Laboratory Phone(314) 859-0400
Laboratory LocationPremier Pediatrics5114 Midamerica Plaza Suite 2C, Saint Louis, MO 63129
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Pediatrics LLC's NPI number?

The NPI number for Premier Pediatrics LLC is 1083195762. It was assigned to this organization in the NPPES registry on August 22, 2018. The provider is also known as Premier Pediatrics.

Where is Premier Pediatrics LLC located?

Premier Pediatrics LLC is located at 5114 Mid America Plz Ste 2C, Saint Louis, MO 63129. The listed phone number is (314) 859-4000.

What is Premier Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premier Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2156056) is associated with this NPI, valid through October 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premier Pediatrics LLC was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.