NPIMap

Organization Active NPI

Precision Diagnostics

  • Pain Clinic/Center
  • Tinley Park, IL
National Provider Identifier
1558618512
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
PRECISION DIAGNOSTICS
Practice address
18623 81St Ave
Tinley Park, IL 60487-6279
Phone
(708) 712-7615
NPI assigned
Aug 9, 2012
Last updated
Aug 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Authorized official

Name
Malcolm Herzog
Title
Manager
Phone
(708) 380-7028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X NU Primary

Addresses

Primary practice location

18623 81St Ave
Tinley Park, IL 60487-6279

Mailing address

18623 81St Ave
Tinley Park, IL 60487-6279
Phone (708) 712-7615

National Provider Directory

National Provider Directory
Tax ID family
Precision Diagnostics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1558618512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18623 81ST AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604876279",
            "telephone_number": "708-712-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18623 81ST AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604876279",
            "telephone_number": "708-712-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-380-7028"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.