Healthcare Provider Details

I. General information

NPI: 1154876886
Provider Name (Legal Business Name): PRECISION MOLECULAR SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2016
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 ASHLEY AVE # EH337
CHARLESTON SC
29425-8905
US

IV. Provider business mailing address

165 ASHLEY AVE # EH337
CHARLESTON SC
29425-8905
US

V. Phone/Fax

Practice location:
  • Phone: 864-630-2225
  • Fax: 866-645-9526
Mailing address:
  • Phone: 864-630-2225
  • Fax: 866-645-9526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number42D2115298
License Number StateSC

VIII. Authorized Official

Name: MR. JEREMY STUART
Title or Position: MANAGING PARTNER
Credential:
Phone: 843-792-1912