Organization Active NPI

Precision Labs LLC

  • Clinical Medical Laboratory
  • Atlanta, GA
National Provider Identifier
1316657596
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PRECISION LABS LLC
Practice address
103 W Paces Ferry Rd NW
Atlanta, GA 30305-1303
NPI assigned
Nov 29, 2022
Last updated
Nov 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Marcus Krejci
Title
Owner
Phone
(404) 368-1840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

103 W Paces Ferry Rd NW
Atlanta, GA 30305-1303

Mailing address

103 W Paces Ferry Rd NW
Atlanta, GA 30305-1303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230305000015 GA Part B Supplier - Independent Clinical Laboratory 5799158127 Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

103 W Paces Ferry Rd NW
Atlanta, GA 30305
Phone (404) 368-1840

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1316657596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W PACES FERRY RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W PACES FERRY RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "KREJCI",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-368-1840"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.