Healthcare Provider Details

I. General information

NPI: 1730978933
Provider Name (Legal Business Name): PRECISION DIAGNOSTIC SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 APPLE AVE STE 101
CHERRYLAND CA
94541-1552
US

IV. Provider business mailing address

1320 APPLE AVE STE 101
CHERRYLAND CA
94541-1552
US

V. Phone/Fax

Practice location:
  • Phone: 925-905-6259
  • Fax:
Mailing address:
  • Phone: 510-460-5933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: TYHESHA WARE
Title or Position: FOUNDER & DIRECTOR OF OPERATIONS
Credential: RN, BSN, PHN
Phone: 925-905-6259