Organization Active NPI

Precision Clinical Laboratories, LLC

  • Clinical Medical Laboratory
  • Clinton, NY
National Provider Identifier
1184102444
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PRECISION CLINICAL LABORATORIES, LLC
Practice address
7883 Seneca Turnpike
Clinton, NY 13323-1078
Phone
(315) 316-0616
Fax
(315) 381-3384
NPI assigned
Jul 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Authorized official

Name
Nameer Haider, MDNPI 1295786150
Title
Owner
Phone
(315) 316-0616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X PENDING NY
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

7883 Seneca Turnpike
Clinton, NY 13323-1078

Mailing address

7883 Seneca Turnpike
Clinton, NY 13323-1078
Phone (315) 316-0616

Other practice location 1

1508 Genesee St Ste B2
Utica, NY 13502-5178
Phone (315) 316-0616

Other identifiers 1

IdentifierTypeStateIssuer
J300593542OtherNYMEDICARE

National Provider Directory

National Provider Directory

Locations

1508 Genesee St
Ste B2
Utica, NY 13502
Phone (315) 316-0616

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1184102444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7883 SENECA TURNPIKE",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231078",
            "telephone_number": "315-316-0616",
            "fax_number": "315-381-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7883 SENECA TURNPIKE",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231078",
            "telephone_number": "315-316-0616",
            "fax_number": "315-381-3384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1508 Genesee St Ste B2",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135025178",
            "country_code": "US",
            "telephone_number": "315-316-0616",
            "fax_number": "315-381-3384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRECISION CLINICAL LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "HAIDER",
        "authorized_official_first_name": "NAMEER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-316-0616",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "J300593542",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.