Healthcare Provider Details

I. General information

NPI: 1619944253
Provider Name (Legal Business Name): PRECISION DIAGNOSTIC SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1531 32ND AVE S STE 103
FARGO ND
58103-5911
US

IV. Provider business mailing address

536 OLD HOWELL RD
GREENVILLE SC
29615-1969
US

V. Phone/Fax

Practice location:
  • Phone: 701-234-9667
  • Fax: 701-271-9260
Mailing address:
  • Phone: 877-550-2949
  • Fax: 336-217-0802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: STEVE FELDMAN
Title or Position: PRESIDENT
Credential:
Phone: 917-803-3470