Organization Active NPI

Precision Epigenomics Inc.

  • Molecular Genetic Pathology (Pathology) Physician
  • Tuscon, AZ
National Provider Identifier
1699503060
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Molecular Genetic Pathology (Pathology) PhysicianTaxonomy code 207ZP0007X
Legal business name
PRECISION EPIGENOMICS INC.
Practice address
630 N. Alvernon Way
Suite 280B
Tuscon, AZ 85711-1816
Phone
(520) 372-7522
Fax
(520) 777-7367
NPI assigned
Jul 25, 2024
Last updated
Jul 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Dr. Richard Bernert, M.D.
Title
Chief Operating Officer
Phone
(520) 372-7522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Molecular Genetic Pathology (Pathology) Physician 207ZP0007X Primary

Addresses

Primary practice location

630 N. Alvernon Way
Suite 280B
Tuscon, AZ 85711-1816

Mailing address

630 N. Alvernon Way
Suite 280B
Tuscon, AZ 85711-1816
Phone (520) 372-7522

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2275987Precision Epigenomics, Inc630 N Alvernon Way Ste 280B, Tucson, AZ 85711AccreditationMay 7, 2028

National Provider Directory

National Provider Directory

Locations

630 N Alvernon Way
Ste 280B
Tucson, AZ 85711
Phone (520) 372-7522

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1699503060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N. ALVERNON WAY",
            "address_2": "SUITE 280B",
            "city": "TUSCON",
            "state": "AZ",
            "postal_code": "857111816",
            "telephone_number": "520-372-7522",
            "fax_number": "520-777-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N. ALVERNON WAY",
            "address_2": "SUITE 280B",
            "city": "TUSCON",
            "state": "AZ",
            "postal_code": "857111816",
            "telephone_number": "520-372-7522",
            "fax_number": "520-777-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION EPIGENOMICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "BERNERT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "520-372-7522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0007X",
            "taxonomy_group": "",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscon, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.