Provider Demographics
NPI:1093258345
Name:PRECISE DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:PRECISE DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-339-8919
Mailing Address - Street 1:113 MILL ST
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:TX
Mailing Address - Zip Code:75409-5905
Mailing Address - Country:US
Mailing Address - Phone:972-339-8919
Mailing Address - Fax:888-548-2767
Practice Address - Street 1:1510 RANDOLPH ST
Practice Address - Street 2:STE 603
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-8906
Practice Address - Country:US
Practice Address - Phone:972-339-8919
Practice Address - Fax:888-548-2767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-18
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory