Provider Demographics
NPI:1154089894
Name:PRECISION TESTING CENTER
Entity Type:Organization
Organization Name:PRECISION TESTING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARRONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:810-282-4397
Mailing Address - Street 1:5369 BRIARCREST DR
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-2206
Mailing Address - Country:US
Mailing Address - Phone:810-282-4397
Mailing Address - Fax:
Practice Address - Street 1:3306 M L KING AVE
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48505-4272
Practice Address - Country:US
Practice Address - Phone:810-282-4397
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory