Organization Active NPI

Precision Clinical Laboratory

  • Clinical Medical Laboratory
  • Alexandria, VA
National Provider Identifier
1679309066
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PRECISION CLINICAL LABORATORY
Practice address
85 S Bragg St Ste 101
Alexandria, VA 22312-2799
Phone
(720) 400-4412
NPI assigned
Sep 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Abigail Mengesha
Title
Owner
Phone
(720) 400-4412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

85 S Bragg St Ste 101
Alexandria, VA 22312-2799

Mailing address

85 S Bragg St Ste 101
Alexandria, VA 22312-2799

National Provider Directory

National Provider Directory

Locations

85 S Bragg St
Ste 101
Alexandria, VA 22312
Phone (303) 856-7177

NPI Registry JSON

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1679309066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S BRAGG ST STE 101",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S BRAGG ST STE 101",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122799",
            "telephone_number": "720-400-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION CLINICAL LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "MENGESHA",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-400-4412"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.