Healthcare Provider Details

I. General information

NPI: 1912300302
Provider Name (Legal Business Name): PRECISION LABS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2014
Last Update Date: 11/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8150 US HIGHWAY 42 N
PLAIN CITY OH
43064
US

IV. Provider business mailing address

8150 US HIGHWAY 42 N
PLAIN CITY OH
43064
US

V. Phone/Fax

Practice location:
  • Phone: 614-504-6470
  • Fax: 614-457-2072
Mailing address:
  • Phone: 614-504-6470
  • Fax: 614-467-2072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. SEAN DANIEL MOORE
Title or Position: CEO
Credential:
Phone: 614-504-6470