Organization Active NPI

Precision Health and Diagnostic LLC

  • Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1194695932
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PRECISION HEALTH AND DIAGNOSTIC LLC
Practice address
4818 Washington Blvd
Saint Louis, MO 63108-1829
Phone
(314) 948-4602
Fax
(314) 590-2757
NPI assigned
Nov 7, 2025
Last updated
Dec 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Jassma Davis, ASN
Title
Register Nurse/ Lab Director
Phone
(314) 948-4602

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Registered Nurse 163W00000X
Community Health Registered Nurse 163WC1500X
Ambulatory Women's Health Care Registered Nurse 163WW0101X
Driver 172A00000X
Phlebotomy Technician 246RP1900X
Other Specialist/Technologist 246Z00000X

Addresses

Primary practice location

4818 Washington Blvd
Saint Louis, MO 63108-1829

Mailing address

4818 Washington Blvd Ste 4013
Saint Louis, MO 63108-1829
Phone (314) 948-4602

National Provider Directory

National Provider Directory

Locations

4818 Washington Blvd
Saint Louis, MO 63108
Phone (314) 200-5408

4818 Washington Blvd
Ste 4013
Saint Louis, MO 63108

NPI Registry JSON

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1194695932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4818 WASHINGTON BLVD STE 4013",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081829",
            "telephone_number": "314-948-4602",
            "fax_number": "314-590-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4818 WASHINGTON BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081829",
            "telephone_number": "314-948-4602",
            "fax_number": "314-590-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION HEALTH AND DIAGNOSTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JASSMA",
        "authorized_official_title_or_position": "REGISTER NURSE/ LAB DIRECTOR",
        "authorized_official_telephone_number": "314-948-4602",
        "authorized_official_credential": "ASN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.