Provider Demographics
NPI:1245424282
Name:PRECISION TESTING LABORATORIES INC
Entity Type:Organization
Organization Name:PRECISION TESTING LABORATORIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:R
Authorized Official - Last Name:FROMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-727-9146
Mailing Address - Street 1:PO BOX 840
Mailing Address - Street 2:
Mailing Address - City:SOUTHBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01550-0840
Mailing Address - Country:US
Mailing Address - Phone:774-402-8111
Mailing Address - Fax:774-402-8111
Practice Address - Street 1:79 NORTH ST
Practice Address - Street 2:
Practice Address - City:SOUTHBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01550-2530
Practice Address - Country:US
Practice Address - Phone:774-402-8111
Practice Address - Fax:774-402-8111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-04
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory