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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PREMIER MEDICAL PHYSICIANS LLC
NPI 1417459207
Clinic/Center - Multi-Specialty in Saint Louis, MO

Active since March 07, 2018CLIA Certified · 2 labs
2325 DOUGHERTY FERRY RD STE 104, SAINT LOUIS, MO 63122(314) 821-6889(314) 821-1887 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2026, Mar 5, 2026, Dec 12, 2025 and 5 more (8 updates tracked since 2018).

About Premier Medical Physicians Llc NPPES

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

PREMIER MEDICAL PHYSICIANS LLC (NPI 1417459207) is a healthcare organization registered as a multi-specialty in Saint Louis, Missouri and active in the NPI registry since March 2018. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Saint Louis, and lists Darren R. Haskell, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1417459207
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMIER MEDICAL PHYSICIANS LLC
Location Address2325 DOUGHERTY FERRY RD STE 104Saint Louis, MO 63122-3356
Mailing Address232 S Woods Mill RdChesterfield, MO 63017-3406 · (314) 821-6889 · Fax (314) 821-1887
Phone(314) 821-6889
Fax(314) 821-1887
Organization SubpartYesParent: St. Lukes Medical Group
Authorized OfficialDarren R. HaskellChief Medical Officer · (314) 205-6444
Enumeration DateMarch 7, 2018
Last NPPES UpdateJuly 10, 20268 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1417459207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
2325 DOUGHERTY FERRY RD STE 104, Saint Louis, MO 63122
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Secondary Practice Location 1

Location 12315 Dougherty Ferry Rd Ste 109ASaint Louis, MO 63122-3383 · Phone (314) 729-1725 · Fax (314) 729-1732

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 26D1088729

Premier Medical Physicians LLC · Saint Louis, MO
Active · expires Jun 24, 2027
CLIA Number26D1088729
Laboratory TypePhysician Office
Certificate Effective DateJune 25, 2025
Certificate Expiration DateJune 24, 2027
Laboratory DirectorVincent P. Fortunato
Laboratory Phone(314) 821-6889
Laboratory LocationPremier Medical Physicians LLC2325 Dougherty Ferry Road, Suite 104, Saint Louis, MO 63122
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 26D1089913

Premier Medical Physicians, LLC · St. Louis, MO
Active · expires Sep 29, 2026
CLIA Number26D1089913
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorAnahit Danielyan
Laboratory Phone(314) 729-1725
Laboratory LocationPremier Medical Physicians, LLC2315 Dougherty Ferry Rd Ste 109A, St. Louis, MO 63122
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VINCENT P. FORTUNATO MD
Internal Medicine
2325 DOUGHERTY FERRY RD STE 104
SAINT LOUIS, MO 63122
St. Louis County (148) 216-8893
MRS. MICHELE NEUDECKER
Nurse Practitioner (Adult Health)
2325 DOUGHERTY FERRY RD STE 104
SAINT LOUIS, MO 63122
St. Louis County (148) 216-8893

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 Medical Physicians LLC's NPI number?

The NPI number for Premier Medical Physicians LLC is 1417459207. It was assigned to this organization in the NPPES registry on March 7, 2018.

Where is Premier Medical Physicians LLC located?

Premier Medical Physicians LLC is located at 2325 Dougherty Ferry Rd Ste 104, Saint Louis, MO 63122. The listed phone number is (314) 821-6889.

What is Premier Medical Physicians LLC's specialty?

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

Does Premier Medical Physicians LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Premier Medical Physicians LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Premier Medical Physicians LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premier Medical Physicians LLC was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.