Precision Diagnostic Laboratories Inc.

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

PRECISION DIAGNOSTIC LABORATORIES INC.

Doing business as

idLABS

Practice address

41 Enchanted
Irvine, CA 92620-2807

Phone

(949) 231-7193

NPI assigned

Jan 14, 2021

Last updated

Jan 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ursula Sjoroos

Title

President

Phone

(949) 231-7193

Specialties & licenses 2

Addresses

Other names 1

• idLABS Doing business as

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1487243499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 ENCHANTED",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926202807",
            "telephone_number": "949-231-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 ENCHANTED",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926202807",
            "telephone_number": "949-231-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION DIAGNOSTIC LABORATORIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "SJOROOS",
        "authorized_official_first_name": "URSULA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-231-7193",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "idLABS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "idLABS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Public Health or Welfare Agency in Irvine, CA
• Providers in Irvine, CA by specialty
• Public Health or Welfare Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.