Precision Diagnostic Services, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

44618 Issued in UT

Legal business name

PRECISION DIAGNOSTIC SERVICES, INC.

Practice address

4885 S 900 E Ste 107
Salt Lake City, UT 84117-3905

Phone

(801) 266-0399

Fax

(801) 266-0421

NPI assigned

Sep 20, 2006

Last updated

Oct 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Stuart B Cannon, BS MBA

Title

Cheif Executive Officer

Phone

(801) 266-0399

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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.

• Jeremie Don Fowler, CRT

  • Pulmonary Rehabilitation Certified Respiratory Therapist
  • Salt Lake City, UT
  • NPI 1598969750
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1871691246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 S 900 E STE 107",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841173905",
            "telephone_number": "801-266-0399",
            "fax_number": "801-266-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 S 900 E STE 107",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841173905",
            "telephone_number": "801-266-0399",
            "fax_number": "801-266-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION DIAGNOSTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "801-266-0399",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS MBA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "UT",
            "license": "4611",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "UT",
            "license": "44618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00059272",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALITUS",
            "identifier": "QM0000064662",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "73047",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Pratt, LCSW
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• Praxair Healthcare Services, Inc.
• Josef T Prchal, M.D.
• Precision Custom Compounds
• Precision Eye Care, PLLC Dba Salt Lake Vision
• Precision Health Services
• Precision Health Services
• Precision Health Services, Inc. (Precision Home Medical)
• Precision Joint Surgery LLC

• Clinical Medical Laboratory in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Medical Laboratory in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.