Organization Active NPI

Precision Analysis Lab, LLC

  • Clinical Medical Laboratory
  • Ashland, KY
National Provider Identifier
1013301159
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
18D2091975 Issued in KY
Legal business name
PRECISION ANALYSIS LAB, LLC
Practice address
101 17TH Street
Ashland, KY 41101
Phone
(606) 471-5995
NPI assigned
Mar 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gez Agolli, MD
Title
Manger
Phone
(678) 849-8783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 18D2091975 KY Primary

Addresses

Primary practice location

101 17TH Street
Ashland, KY 41101

Mailing address

101 17TH Street
Ashland, KY 41101
Phone (606) 471-5995

National Provider Directory

National Provider Directory

Locations

101 17th St
Ashland, KY 41101
Phone (606) 471-5995

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527811200000",
    "number": "1013301159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 17TH STREET",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41101",
            "telephone_number": "606-471-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 17TH STREET",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41101",
            "telephone_number": "606-471-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION ANALYSIS LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2018-06-01",
        "status": "A",
        "authorized_official_last_name": "AGOLLI",
        "authorized_official_first_name": "GEZ",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "678-849-8783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KY",
            "license": "18D2091975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.