Precision Diagnostics, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PRECISION DIAGNOSTICS, LLC

Practice address

18623 81St Ave
Tinley Park, IL 60487-6279

Phone

(708) 380-7028

NPI assigned

Oct 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Malcolm Herzog, DPM

Title

Manager

Phone

(708) 380-7028

Specialties & licenses 1

Addresses

Tax ID family

Precision Diagnostics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Precision Diagnostics

  • Pain Clinic/Center
  • Tinley Park, IL
  • NPI 1558618512
  NPD tax ID

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1841542685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18623 81ST AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604876279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18623 81ST AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604876279",
            "telephone_number": "708-380-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-380-7028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yelena Y Potekhin, DC
• Tasia Powell, RBT
• Melissa K Pradhan, MD
• Zibute Pranckevicius, PTA
• Precision Diagnostics
• Tammy A. Price, OTR/L, CLVT
• Primary Care Partners LLC
• Primary Healthcare Associates, SC
• Prime Endodontics
• Primus Orthopedics SC (Chicago Center for Sports Medicine and Orthopedic Surgery)

• Health Service Clinic/Center in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.