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PREMIER PEDIATRICS LTD
NPI 1144053232
Pediatrics in Kenosha, WI

Active since August 23, 2024CLIA 52D2315182 · Waiver
6121 GREEN BAY RD STE 150, KENOSHA, WI 53142(262) 553-6400(262) 631-8754 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premier Pediatrics Ltd NPPES

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

PREMIER PEDIATRICS LTD (NPI 1144053232) is a healthcare organization registered as a pediatrics in Kenosha, Wisconsin and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through December 8, 2026 and lists Jason Friedlander, Owner, as its authorized official.

NPPES Registry Identity

NPI1144053232
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePREMIER PEDIATRICS LTD
Location Address6121 GREEN BAY RD STE 150Kenosha, WI 53142-2983
Mailing Address6121 Green Bay Rd Ste 150Kenosha, WI 53142-2983 · (262) 553-6400 · Fax (262) 631-8754
Phone(262) 553-6400
Fax(262) 631-8754
Organization SubpartNo
Authorized OfficialJason FriedlanderOwner · (262) 553-6400
Enumeration DateAugust 23, 2024
NPPES CertifiedAugust 23, 2024
✔ NPI 1144053232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6121 GREEN BAY RD STE 150, Kenosha, WI 53142
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 52D2315182

Premier Pediatrics Ltd · Kenosha, WI
Active · expires Dec 8, 2026
CLIA Number52D2315182
Laboratory TypePhysician Office
Certificate Effective DateDecember 9, 2024
Certificate Expiration DateDecember 8, 2026
Laboratory DirectorDr. Jason R. Friedlander
Laboratory Phone(262) 553-6400
Laboratory LocationPremier Pediatrics Ltd6121 Green Bay Rd - Suite 150, Kenosha, WI 53142
CLIA data matches this NPI record on: Address Name Phone
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 Ltd's NPI number?

The NPI number for Premier Pediatrics Ltd is 1144053232. It was assigned to this organization in the NPPES registry on August 23, 2024.

Where is Premier Pediatrics Ltd located?

Premier Pediatrics Ltd is located at 6121 Green Bay Rd Ste 150, Kenosha, WI 53142. The listed phone number is (262) 553-6400.

What is Premier Pediatrics Ltd's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Premier Pediatrics Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2315182) is associated with this NPI, valid through December 8, 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 Ltd was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.