Precision Toxicology, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PRECISION TOXICOLOGY, LLC

Practice address

49 State Rd Ste 103N
Dartmouth, MA 02747-3303

Phone

(800) 635-6901

Fax

(858) 228-9909

NPI assigned

Aug 25, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Miguel Gallego

Title

Ceo

Phone

(800) 635-6901

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Precision Diagnostics Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Precision Toxicology, LLC

  • Clinical Medical Laboratory
  • West Hartford, CT
  • NPI 1114319563

  9335381342

  Same PAC ID
• Precision Toxicology, LLC

  • Clinical Medical Laboratory
  • San Diego, CA
  • NPI 1730466590

  9335381342

  Same PAC ID
• Precision Toxicology, LLC

  • Clinical Medical Laboratory
  • Marquette, MI
  • NPI 1871907915

  9335381342

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Precision Toxicology LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Precision Toxicology, LLC

  • Clinical Medical Laboratory
  • West Hartford, CT
  • NPI 1114319563
  NPD tax ID
• Precision Toxicology, LLC

  • Clinical Medical Laboratory
  • San Diego, CA
  • NPI 1730466590
  NPD tax ID
• Precision Toxicology, LLC

  • Clinical Medical Laboratory
  • Marquette, MI
  • NPI 1871907915
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Trustees of Columbia University in the City of New York

  • Durable Medical Equipment & Medical Supplies
  • Bronxville, NY
  • NPI 1396282679

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amadeo Pesce, PHD

  • Chemical Pathology Physician
  • San Diego, CA
  • NPI 1972807683
  NPD (past)

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1043737505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 MIRA MESA BLVD STE 123-153",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214392",
            "telephone_number": "800-635-6901",
            "fax_number": "858-228-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 STATE RD STE 103N",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027473303",
            "telephone_number": "800-635-6901",
            "fax_number": "858-228-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION TOXICOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "GALLEGO",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-635-6901",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LAB LICENSE",
            "identifier": "5434",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA REGISTRATION",
            "identifier": "22D2133197",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110129278A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ralph P Pollack, DMD
• Dawn Pomfret, LICSW
• Christian S Pope, D.O.
• Michael Powell, D.C.
• Joanne Pratt
• Premier Healthcare Services, LLC
• Tracey Press, PTA
• Prime Health LLC
• Professional Dental Alliance of Ma - Ortho, PLLC
• Jason Paul Protami

• Clinical Medical Laboratory in Dartmouth, MA
• Providers in Dartmouth, MA by specialty
• Clinical Medical Laboratory in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.