MEDICARE: PRECISION MOLECULAR SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory	42D2115298	SC

General Provider Information

NPI Number	:	1154876886
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISION MOLECULAR SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	165 ASHLEY AVE # EH337
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29425-8905
Country	:	US
Telephone Number	:	864-630-2225
Fax Number	:	866-645-9526

Provider Business Practice Location Address
First Line	:	165 ASHLEY AVE # EH337
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29425-8905
Country	:	US
Telephone Number	:	864-630-2225
Fax Number	:	866-645-9526

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	MR. JEREMY STUART
Credential	:
Telephone Number	:	843-792-1912

Provider Enumeration Date	:	08/23/2016
Last Update Date	:	12/17/2025

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