MEDICARE: PRECISION DIAGNOSTIC 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

General Provider Information

NPI Number	:	1730978933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISION DIAGNOSTIC SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	4827 SWINFORD CT
Second Line	:
City	:	DUBLIN
State	:	CA
Zip	:	94568-7809
Country	:	US
Telephone Number	:	510-460-5933
Fax Number	:

Provider Business Practice Location Address
First Line	:	4827 SWINFORD CT
Second Line	:
City	:	DUBLIN
State	:	CA
Zip	:	94568-7809
Country	:	US
Telephone Number	:	925-905-6259
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER & DIRECTOR OF OPERATIONS
Name	:	TYHESHA WARE
Credential	:	RN, BSN, PHN
Telephone Number	:	925-905-6259

Provider Enumeration Date	:	05/05/2025
Last Update Date	:	05/05/2025

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