Provider Demographics
NPI:1972142909
Name:PRECISION HEALTH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:PRECISION HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL LABORATORY TECHNOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:BRIGITHY
Authorized Official - Middle Name:
Authorized Official - Last Name:ORDONEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MLT
Authorized Official - Phone:941-228-6656
Mailing Address - Street 1:9675 4TH ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-2515
Mailing Address - Country:US
Mailing Address - Phone:727-235-0886
Mailing Address - Fax:833-288-9397
Practice Address - Street 1:9675 4TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-2515
Practice Address - Country:US
Practice Address - Phone:727-235-0886
Practice Address - Fax:833-288-9397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-20
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No156F00000XEye and Vision Services ProvidersTechnician/TechnologistGroup - Single Specialty