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NPI Code Detail

MEDICARE: PRECISION DIAGNOSTIX LABORATORY SERVICES

MEDICARE: PRECISION DIAGNOSTIX LABORATORY SERVICES
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
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1902558125
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRECISION DIAGNOSTIX LABORATORY SERVICES
Provider Business Mailing Address
First Line : 6177 N LINCOLN AVE STE 173
Second Line :
City : CHICAGO
State : IL
Zip : 60659-2313
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 122 S MICHIGAN AVE STE 1390
Second Line :
City : CHICAGO
State : IL
Zip : 60603-6036
Country : US
Telephone Number : 312-584-2501
Fax Number :
Authorized Official
Title or Position : RN, MSN
Name : JOY ONUOHA
Credential :
Telephone Number : 312-584-2501
Provider Enumeration Date : 01/19/2022
Last Update Date : 01/19/2022

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Directions to “PRECISION DIAGNOSTIX LABORATORY SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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