Organization Active NPI

Precision Clinical Diagnostics LLC

  • Mobile Radiology Clinic/Center
  • Washington, DC
National Provider Identifier
1700424389
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
PRECISION CLINICAL DIAGNOSTICS LLC
Practice address
6323 Georgia Ave NW Ste 102
Washington, DC 20011-1137
Phone
(202) 450-5981
NPI assigned
Dec 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Haimanot Haile
Title
MBR
Phone
(202) 450-5981

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X

Addresses

Primary practice location

6323 Georgia Ave NW Ste 102
Washington, DC 20011-1137

Mailing address

6323 Georgia Ave NW Ste 102
Washington, DC 20011-1137
Phone (202) 450-5981

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1576281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1700424389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 GEORGIA AVE NW STE 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111137",
            "telephone_number": "202-450-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 GEORGIA AVE NW STE 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111137",
            "telephone_number": "202-450-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION CLINICAL DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-14",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "HAILE",
        "authorized_official_first_name": "HAIMANOT",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "202-450-5981"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.