Precision Clinical Imaging LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

PRECISION CLINICAL IMAGING 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

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

Authorized official

Name

Haimanot HaileNPI 1659669067

Title

MBR

Phone

(202) 450-5981

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Portable X-ray supplier certification: CCN 09X0000002

Legal name

PRECISION CLINICAL IMAGING LLC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

May 3, 2021

Last certification

May 3, 2021

Ownership / control type

Partnership

Facility address

6323 Georgia Ave NW
Washington, DC 20011

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Haimanot Haile

  • Hospitalist Physician
  • Washington, DC
  • NPI 1659669067
  NPD (past) Authorized official

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": "1801434485",
    "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 IMAGING 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": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kavale Adrian Precia
• Diego Preciado, MD
• Precision Cardiovascular LLC
• Precision Care Health Services, LLC
• Precision Clinical Diagnostics LLC
• Precision Orthopedics and Sports Medicine
• Precision Orthopedics and Sports Medicine
• Precision Teaching Academy LLC
• Martin T Henry Pree
• Brock Preheim, MD

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Washington, DC
• Providers in Washington, DC by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in District of Columbia

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.