Active NPI
Precision Diagnostics LLC
- Clinical Medical Laboratory
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- PRECISION DIAGNOSTICS LLC
- Practice address
- 1304 Bertrand Dr Ste E8
Lafayette, LA 70506-9105 - Phone
- (337) 739-5577
- NPI assigned
- Nov 17, 2010
- Last updated
- May 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Matthew West
- Title
- Administrator
- Phone
- (337) 773-9557
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1304 Bertrand Dr Ste E8
Lafayette, LA 70506-9105
Mailing address
1304 Bertrand Dr Ste E8
Lafayette, LA 70506-9105
Phone (337) 739-5577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110914000447 | LA | Part B Supplier - Independent Clinical Laboratory | 8820269384 | Practice locations: Lafayette, LA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Anatomic Pathology & Clinical Pathology Physician
- Lafayette, LA
- NPI 1700873833
Member Of
Locations
1304 Bertrand Dr
Ste E6
Lafayette, LA 70506
Phone (337) 237-1353
1304 Bertrand Dr
Ste E8
Lafayette, LA 70506
Phone (337) 706-8230
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anatomic Pathology & Clinical Pathology Physician
- New Iberia, LA
- NPI 1740353887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621468800000",
"number": "1851693220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 BERTRAND DR STE E8",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705069105",
"telephone_number": "337-739-5577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 BERTRAND DR STE E8",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705069105",
"telephone_number": "337-739-5577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECISION DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-17",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A",
"authorized_official_last_name": "WEST",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "337-773-9557"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
- Erin Trahan Pratt, M.D.
- Justin Matthew Pratt, MD
- Richard Warren Pratt, M.D.
- Tiffany Marie Pratt, D.C.
- Precision Anesthesia of Lafayette LLC
- Precision Home Care LLC
- Precision Home Care LLC
- Precision Radiology Management of Louisiana LLC
- Preeminent Healthcare Systems
- Preferred Anatomic Pathology Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.