Precipio Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PRECIPIO INC

Practice address

4 Science Park Ste 3
New Haven, CT 06511-1962

Phone

(203) 787-7888

Fax

(203) 901-1289

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Mehmed Iljazi

Title

Billing Manager

Phone

(203) 787-7888

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE, CT2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Precipio Inc

  • Clinical Medical Laboratory
  • Omaha, NE
  • NPI 1053018275

  7618924648

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Precipio Inc

  • Clinical Medical Laboratory
  • Omaha, NE
  • NPI 1053018275

  O20050401000611

  Same enrollment

Practitioners 1

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

• Frank Andrew Bauer, M.D.

  • Anatomic Pathology Physician
  • Hartford, CT
  • NPI 1851416739
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1841375094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SCIENCE PARK STE 3",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065111962",
            "telephone_number": "203-787-7888",
            "fax_number": "203-901-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SCIENCE PARK STE 3",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065111962",
            "telephone_number": "203-787-7888",
            "fax_number": "203-901-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIPIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "ILJAZI",
        "authorized_official_first_name": "MEHMED",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "203-787-7888"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "30057",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonya Prasad, MD MSC
• Jara Dawn-Kyung Prather-Chen, PA-C
• Christina M Pratt, PA-C
• Henry Emmet Pratt, MD, PHD
• Thomas Prebet, MD PHD
• Precipio LLC
• Jana Preiningerova, MD
• Diane Presnick, CNM
• Stephanie Elise Presser, MD
• Michael John Prestreau, PA-C

• Clinical Medical Laboratory in New Haven, CT
• Providers in New Haven, CT by specialty
• Clinical Medical Laboratory in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.