Organization Active NPI

Precision Diagnostics LLC

  • Neurology Physician
  • Canton, MI
National Provider Identifier
1689916199
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
5101015840 Issued in MI
Legal business name
PRECISION DIAGNOSTICS LLC
Practice address
4153 Monarch Ave
Canton, MI 48188-7207
Phone
(734) 637-9239
NPI assigned
Mar 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Authorized official

Name
Dr. Shamael Haque, DO
Title
Member
Phone
(734) 637-9239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 5101015840 MI Primary

Addresses

Primary practice location

4153 Monarch Ave
Canton, MI 48188-7207

Mailing address

4153 Monarch Ave
Canton, MI 48188-7207

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1689916199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4153 MONARCH AVE",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481887207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4153 MONARCH AVE",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481887207",
            "telephone_number": "734-637-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "HAQUE",
        "authorized_official_first_name": "SHAMAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "734-637-9239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "5101015840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.