MEDICARE: PRECISE DIAGNOSTICS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	293D00000X	Physiological Laboratory	D2622	TX

General Provider Information

NPI Number	:	1649498213
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISE DIAGNOSTICS INC

Provider Business Mailing Address
First Line	:	PO BOX 2241
Second Line	:
City	:	MT PLEASANT
State	:	TX
Zip	:	75456-2241
Country	:	US
Telephone Number	:	903-577-3001
Fax Number	:

Provider Business Practice Location Address
First Line	:	3107 FAREWAY LN
Second Line	:
City	:	MT PLEASANT
State	:	TX
Zip	:	75455-6731
Country	:	US
Telephone Number	:	903-577-3001
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MONICA MATKIN
Credential	:
Telephone Number	:	903-577-3001

Provider Enumeration Date	:	04/21/2007
Last Update Date	:	08/22/2020

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Directions to “PRECISE DIAGNOSTICS INC ” Practice Location

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