Provider Demographics
NPI:1720426992
Name:PRECISION DIAGNOSTICS INC
Entity Type:Organization
Organization Name:PRECISION DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:TAJANLANGIT
Authorized Official - Suffix:JR
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:732-888-1997
Mailing Address - Street 1:80 HAZLET AVE
Mailing Address - Street 2:UNIT # 11
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-1623
Mailing Address - Country:US
Mailing Address - Phone:732-888-1997
Mailing Address - Fax:732-888-1776
Practice Address - Street 1:80 HAZLET AVE
Practice Address - Street 2:UNIT # 11
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1623
Practice Address - Country:US
Practice Address - Phone:732-888-1997
Practice Address - Fax:732-888-1776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-11
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ31D2058237291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory