Organization Active NPI

Precision Genetics, Inc.

  • Clinical Medical Laboratory
  • Greenville, SC
National Provider Identifier
1346959970
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PRECISION GENETICS, INC.
Practice address
200 Patewood Dr Ste 4173
Greenville, SC 29615-3593
Phone
(877) 843-6544
Fax
(866) 645-9526
NPI assigned
Nov 22, 2022
Last updated
Nov 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Authorized official

Name
Jeremy Stuart, PHD
Title
Chief Scientific Officer/Clia Dir
Phone
(864) 630-2225

Specialties & licenses 1

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

Addresses

Primary practice location

200 Patewood Dr Ste 4173
Greenville, SC 29615-3593

Mailing address

430 Roper Mountain Rd Ste B
Greenville, SC 29615-4243
Phone (877) 843-6544

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

200 Patewood Dr
#4173
Greenville, SC 29615
Phone (877) 843-6544

200 Patewood Dr
Ste 4173
Greenville, SC 29615
Phone (877) 843-6544

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1346959970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 ROPER MOUNTAIN RD STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154243",
            "telephone_number": "877-843-6544",
            "fax_number": "866-645-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PATEWOOD DR STE 4173",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153593",
            "telephone_number": "877-843-6544",
            "fax_number": "866-645-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION GENETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CHIEF SCIENTIFIC OFFICER/CLIA DIR",
        "authorized_official_telephone_number": "864-630-2225",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.