Active NPI
Precision Epigenomics Inc.
- Molecular Genetic Pathology (Pathology) Physician
- Tuscon, AZ
National Provider Identifier
1699503060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Molecular Genetic Pathology (Pathology) Physician
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2275987 | Precision Epigenomics, Inc | Accreditation | May 7, 2028 |
National Provider Directory
National Provider DirectoryLocations
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
- Christine R Moussa, D.O.
- Elidia Beas Newbold
- Editha Abrenica Nocos, NURSE PRACTITIONER
- Paperflower Institute, LLC
- Donald Alexander Perry, MD
- Marion B Scheible
- Mark Stuart Simmons, MD
- Stillwater Hospice Tucson LLC (Stillwater Hospice)
- Sunset Services LLC (Home Instead Tucson)
- Viliulfo I. Valderrama, LPC
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.