Organization Active NPI

Precision Diagnostics LLC

  • Clinical Medical Laboratory
  • Lafayette, LA
National Provider Identifier
1851693220
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20110914000447 LA Part B Supplier - Independent Clinical Laboratory 8820269384 Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

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

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.

Verify at the official NPI Registry.