Active NPI
Precision Diagnostics, LLC
- Clinical Medical Laboratory
- Indianapolis, IN
National Provider Identifier
1063811941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- PRECISION DIAGNOSTICS, LLC
- Practice address
- 1070 E 86TH St
Ste 72F
Indianapolis, IN 46240-1862 - Phone
- (866) 363-0203
- Fax
- (866) 285-6850
- NPI assigned
- Aug 18, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nathan Schaffner
- Title
- Vice President of Sales
- Phone
- (317) 218-3476
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1070 E 86TH St
Ste 72F
Indianapolis, IN 46240-1862
Mailing address
PO Box 856300
Dept 148
Louisville, KY 40285-6300
Phone (866) 363-0203
Other names 1
- Miratech Labs
National Provider Directory
National Provider DirectoryLocations
1070 E 86th St
Ste 72F
Indianapolis, IN 46240
Phone (317) 218-3476
1070 E 86th St
Indianapolis, IN 46240
Phone (317) 218-3476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463961600000",
"number": "1063811941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 856300",
"address_2": "DEPT 148",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402856300",
"telephone_number": "866-363-0203",
"fax_number": "866-285-6850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 E 86TH ST",
"address_2": "STE 72F",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462401862",
"telephone_number": "866-363-0203",
"fax_number": "866-285-6850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECISION DIAGNOSTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-18",
"last_updated": "2016-05-23",
"status": "A",
"authorized_official_last_name": "SCHAFFNER",
"authorized_official_first_name": "NATHAN",
"authorized_official_title_or_position": "VICE PRESIDENT OF SALES",
"authorized_official_telephone_number": "317-218-3476"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Miratech Labs",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.