Organization Active NPI

Precision Labs, LLC

  • Clinical Medical Laboratory
  • Plain City, OH
National Provider Identifier
1912300302
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PRECISION LABS, LLC
Practice address
8150 US Highway 42 N
Plain City, OH 43064
Phone
(614) 504-6470
Fax
(614) 457-2072
NPI assigned
Sep 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Authorized official

Name
Mr. Sean Daniel Moore
Title
Ceo
Phone
(614) 504-6470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

8150 US Highway 42 N
Plain City, OH 43064

Mailing address

8150 US Highway 42 N
Plain City, OH 43064
Phone (614) 504-6470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160211001163 OH Part B Supplier - Independent Clinical Laboratory 3375847338 Practice locations: Plain City, OH

National Provider Directory

National Provider Directory

Locations

8150 US Highway 42 N
Plain City, OH 43064
Phone (614) 504-6470

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1912300302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 US HIGHWAY 42 N",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "43064",
            "telephone_number": "614-504-6470",
            "fax_number": "614-467-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 US HIGHWAY 42 N",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "43064",
            "telephone_number": "614-504-6470",
            "fax_number": "614-457-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-504-6470",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plain City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.