Organization Active NPI

Precision Diagnostics Inc

  • Clinical Medical Laboratory
  • Hazlet, NJ
National Provider Identifier
1720426992
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
31D2058237 Issued in NJ
Legal business name
PRECISION DIAGNOSTICS INC
Practice address
80 Hazlet Ave
Unit # 11
Hazlet, NJ 07730-1623
Phone
(732) 888-1997
Fax
(732) 888-1776
NPI assigned
Jun 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Roberto Tajanlangit Jr., RN BSN
Title
Owner
Phone
(732) 888-1997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 31D2058237 NJ Primary

Addresses

Primary practice location

80 Hazlet Ave
Unit # 11
Hazlet, NJ 07730-1623

Mailing address

80 Hazlet Ave
Unit # 11
Hazlet, NJ 07730-1623
Phone (732) 888-1997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130829000134 NJ Part B Supplier - Independent Clinical Laboratory 4880837434 Practice locations: Hazlet, NJ

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
31D2058237Precision Diagnostic Inc80 Hazlet Avenue, Hazlet, NJ 07730AccreditationFeb 11, 2028

National Provider Directory

National Provider Directory

Locations

80 Hazlet Ave
Ste 11
Hazlet, NJ 07730
Phone (732) 888-1997

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1720426992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HAZLET AVE",
            "address_2": "UNIT # 11",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301623",
            "telephone_number": "732-888-1997",
            "fax_number": "732-888-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HAZLET AVE",
            "address_2": "UNIT # 11",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301623",
            "telephone_number": "732-888-1997",
            "fax_number": "732-888-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "TAJANLANGIT",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-888-1997",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "31D2058237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.