Organization Active NPI

Precision Unlimited Diagnostics Inc

  • Clinical Medical Laboratory
  • Deerfield Beach, FL
National Provider Identifier
1720800188
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PRECISION UNLIMITED DIAGNOSTICS INC
Practice address
450 Fairway Dr Ste 103
Deerfield Beach, FL 33441-1837
Phone
(954) 379-8316
Fax
(954) 889-7834
NPI assigned
Oct 28, 2024
Last updated
Oct 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Constance Governale
Title
Owner
Phone
(954) 663-0040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

450 Fairway Dr Ste 103
Deerfield Beach, FL 33441-1837

Mailing address

450 Fairway Dr Ste 103
Deerfield Beach, FL 33441-1837
Phone (954) 379-8316

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250106002000 FL Part B Supplier - Independent Clinical Laboratory 6901334804 Practice locations: Deerfield Beach, FL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1720800188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 FAIRWAY DR STE 103",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411837",
            "telephone_number": "954-379-8316",
            "fax_number": "954-889-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 FAIRWAY DR STE 103",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411837",
            "telephone_number": "954-379-8316",
            "fax_number": "954-889-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION UNLIMITED DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "GOVERNALE",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-663-0040"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.