Organization Active NPI

Precision Diagnostics, LLC

  • Clinical Medical Laboratory
  • Indianapolis, IN
National Provider Identifier
1063811941
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on May 23, 2016

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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"
        }
    ]
}

Other providers in Indianapolis, IN

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.

Verify at the official NPI Registry.