PRECISION DIAGNOSTIC SERVICES, INC. (NPI# 1871691246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871691246 |
| Entity Type | Organization |
| Organization Name | PRECISION DIAGNOSTIC SERVICES, INC. |
| Practice Address |
4885 S 900 E Ste 107 Salt Lake City UT 84117-3905 |
| Practice Telephone | 8012660399 |
| Practice Fax Number | 8012660421 |
| Mailing Telephone | 8012660399 |
| Mailing Fax Number | 8012660421 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-10-31 |
| Authorized Official Name | MR. STUART B CANNON (CHEIF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8012660399 |
| Authorized Official Credential | BS MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | 4611 | UT | Laboratories |
| Y | 291U00000X | Clinical Medical Laboratory | 44618 | UT | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | RR MEDICARE | P00059272 | 01 |
| UT | PEHP | 73047 | 01 |
| UT | ALITUS | QM0000064662 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Precision Diagnostic Services, Inc. | 4152 30th Avenue So, Suite 103, Fargo, ND 58104 |
| Iowa Business Entities | PRECISION DIAGNOSTIC SERVICES, INC. | 430 Woodruff Road, Suite 450, Greenville, SC 29607 |
| Street Address |
4885 S 900 E STE 107 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84117-3905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376063404 | Tiffani Horne | Respiratory Therapist, Registered | 4885 S 900 E Ste 107, Salt Lake City, UT 84117-3905 | 2017-06-20 |
| 1184828816 | Precision Health Services | Clinic/Center | 4885 S 900 E Ste 107, Salt Lake City, UT 84117-3905 | 2007-06-14 |
| 1497959019 | Vicky N. Robbins | Respiratory Therapist, Registered | 4885 S 900 E Ste 107, Salt Lake City, UT 84117-3905 | 2007-06-14 |
| 1336249572 | Precision Health Services, Inc. | Physical Therapist | 4885 S 900 E Ste 107, Salt Lake City, UT 84117-3905 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052256 | Abundant Dental Care, P.C. | Dentist | 1548 E 4500 S #104, Holladay, UT 84117 | 2020-01-15 |
| 1578127221 | Signature Utah Dental Partners PC | Clinic/Center | 2240 E Murray Holladay Rd, Holladay, UT 84117 | 2019-04-29 |
| 1700392974 | Marette Monson, LLC | Community/Behavioral Health | 2180 East 4500 South, Suite 105, Holladay City, UT 84117 | 2017-12-23 |
| 1942714639 | Harmon City Inc | Pharmacy | 4675 South Holladay Blvd, Holladay, UT 84117 | 2017-11-17 |
| 1881119444 | Brianna Stewart | Physical Medicine & Rehabilitation | 5151 South 900 East, Suite 100, Salt Lake City, UT 84117 | 2017-08-04 |
| 1861842874 | Whitney Aste | Dentist | 1548 E 4500 S Ste 104, Salt Lake City, UT 84117 | 2016-06-21 |
| 1922403765 | Tri-peak, Pllc | Psychologist | 4535 S 2300 E, Suite B, Salt Lake City, UT 84117 | 2014-10-22 |
| 1356689566 | Mckenzie Vierig | Marriage & Family Therapist | 4568 S Highland Dr Ste 380, Millcreek, UT 84117 | 2013-01-22 |
| 1821348640 | Fabiola Marquez Jamieson | Social Worker | 4500 S 2180 E, Suite 165, Holladay, UT 84117 | 2012-09-19 |
| 1073882882 | Amy Rose White | Social Worker | 4500 South 2180 East, Suite 165, Holladay, UT 84117 | 2011-12-22 |
| Find all providers in zip 84117 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033249 | Arches Research, Inc. | Clinical Medical Laboratory | 1960 S 4250 W, Salt Lake City, UT 84104-4836 | 2020-04-29 |
| 1750915658 | Idbydna Inc. | Clinical Medical Laboratory | 675 S Arapeen Dr Ste 301, Salt Lake City, UT 84108-1223 | 2020-02-28 |
| 1700420361 | Renalytix Ai, Inc. | Clinical Medical Laboratory | 421 S Wakara Way Ste 309, Salt Lake City, UT 84108-3549 | 2019-11-06 |
| 1154884575 | Heredilab, Inc | Clinical Medical Laboratory | 1060 E 100 S Ste 109, Salt Lake City, UT 84102-4303 | 2019-04-11 |
| 1760965719 | Valleylab | Clinical Medical Laboratory | 4460 S Highland Dr Ste 110, Salt Lake City, UT 84124-3550 | 2018-09-14 |
| 1205323300 | Laboratory Corporation of America | Clinical Medical Laboratory | 1160 E 3900 S Ste 1200, Salt Lake City, UT 84124-1251 | 2018-04-16 |
| 1154855690 | Navican Genomics Inc. | Clinical Medical Laboratory | 341 S Main St Ste 200, Salt Lake City, UT 84111-3463 | 2017-04-11 |
| 1679948756 | Crossroads Laboratory, LLC | Clinical Medical Laboratory | 6337 S Highland Dr Ste 110, Salt Lake City, UT 84121-2107 | 2015-12-01 |
| 1508125196 | Ethigen, LLC | Clinical Medical Laboratory | 1904 Michigan Ave, Salt Lake City, UT 84108-1324 | 2012-05-16 |
| 1699041723 | Omega Wellness Institute, LLC | Clinical Medical Laboratory | 770 E South Temple Ste 100, Salt Lake City, UT 84102-1689 | 2012-03-22 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.