Organization Active NPI

Precision Labs LLC

  • Clinical Medical Laboratory
  • Gilbert, AZ
National Provider Identifier
1609410042
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PRECISION LABS LLC
Practice address
1450 W Guadalupe Rd Ste 120
Gilbert, AZ 85233-3056
Phone
(602) 283-3341
Fax
(480) 590-3543
NPI assigned
Oct 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Authorized official

Name
Michael David Cormier
Title
Owner
Phone
(480) 306-7227

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207KI0005X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1450 W Guadalupe Rd Ste 120
Gilbert, AZ 85233-3056

Mailing address

1450 W Guadalupe Rd Ste 120
Gilbert, AZ 85233-3056
Phone (602) 283-3341

National Provider Directory

National Provider Directory

Locations

4350 E Camelback Rd
Ste E120
Phoenix, AZ 85018

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1609410042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 W GUADALUPE RD STE 120",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333056",
            "telephone_number": "602-283-3341",
            "fax_number": "480-590-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 W GUADALUPE RD STE 120",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333056",
            "telephone_number": "602-283-3341",
            "fax_number": "480-590-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "CORMIER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-306-7227"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

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