PREMIER DIAGNOSTIC TESTING, INC.
NPI 1811375827
Clinic/Center - Medical Specialty in East Stroudsburg, PA

Active since May 11, 2015
364 N COURTLAND ST, EAST STROUDSBURG, PA 18301(570) 369-5833 Get Directions Write a Review

NPPES record last updated: October 14, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Medical Specialty

About PREMIER DIAGNOSTIC TESTING, INC.

This page provides the complete NPI Profile along with additional information for Premier Diagnostic Testing, Inc., a provider established in East Stroudsburg, Pennsylvania operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1811375827 assigned on May 2015. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. Leonid Kosyakovskiy (President)

NPI
1811375827 Verify this NPI
Provider Name
PREMIER DIAGNOSTIC TESTING, INC.
Entity Type
Organization
Location Address
364 N COURTLAND ST EAST STROUDSBURG, PA 18301
Location Phone
(570) 369-5833
Mailing Address
364 N COURTLAND ST EAST STROUDSBURG, PA 18301
Mailing Phone
(570) 369-5833
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-11-2015
Last Update Date
10-14-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. LEONID KOSYAKOVSKIY

Authorized Official Title
PRESIDENT
Authorized Official Phone
(570) 369-5833

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinical Medical Laboratory
364 N COURTLAND ST
EAST STROUDSBURG, PA 18301
Pharmacy
364 N COURTLAND ST, SUITE 2
EAST STROUDSBURG, PA 18301
Pharmacist
364 N COURTLAND ST, SUITE 2
EAST STROUDSBURG, PA 18301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811375827, enumerated as an "organization" on May 11, 2015.

The provider is located at 364 N COURTLAND ST EAST STROUDSBURG, PA 18301 and the phone number is (570) 369-5833.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.