Healthcare Provider Details

I. General information

NPI: 1649498213
Provider Name (Legal Business Name): PRECISE DIAGNOSTICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3107 FAREWAY LN
MT PLEASANT TX
75455-6731
US

IV. Provider business mailing address

PO BOX 2241
MT PLEASANT TX
75456-2241
US

V. Phone/Fax

Practice location:
  • Phone: 903-577-3001
  • Fax:
Mailing address:
  • Phone: 903-577-3001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License NumberD2622
License Number StateTX

VIII. Authorized Official

Name: MONICA MATKIN
Title or Position: PRESIDENT
Credential:
Phone: 903-577-3001