Provider Demographics
NPI:1437369725
Name:PRECISE SPECIALTIES CORPORATION
Entity Type:Organization
Organization Name:PRECISE SPECIALTIES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:ULTRASOUIND TECH
Authorized Official - Phone:217-532-6800
Mailing Address - Street 1:524 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:IL
Mailing Address - Zip Code:62049-1436
Mailing Address - Country:US
Mailing Address - Phone:217-532-6800
Mailing Address - Fax:217-532-6800
Practice Address - Street 1:524 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:IL
Practice Address - Zip Code:62049-1436
Practice Address - Country:US
Practice Address - Phone:217-532-6800
Practice Address - Fax:217-532-6800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2008-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL210932Medicare PIN
IL209806Medicare PIN