Healthcare Provider Details

I. General information

NPI: 1528801156
Provider Name (Legal Business Name): PRECISION PUNCTURES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2024
Last Update Date: 06/16/2024
Certification Date: 06/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 OBSIDIAN CT
CHESAPEAKE VA
23322-4669
US

IV. Provider business mailing address

481 RUDDER RD
VIRGINIA BEACH VA
23454-4826
US

V. Phone/Fax

Practice location:
  • Phone: 757-236-0964
  • Fax:
Mailing address:
  • Phone: 757-236-0964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. DOMINIQUE ADRIENNE VOSGES
Title or Position: PHLEBOTOMY INSTRUCTOR/ OWNER
Credential: CPI, CPT,
Phone: 757-236-0964