# PRECISION HEALTH AND DIAGNOSTIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194695932
- **Authorized official:** JASSMA DAVIS ASN (REGISTER NURSE/ LAB DIRECTOR)
- **Authorized official phone:** (314) 948-4602

## Contact information

- **Practice address:** 4818 WASHINGTON BLVD, SAINT LOUIS, MO 63108-1829
- **Practice address phone:** (314) 948-4602
- **Practice address fax:** (314) 590-2757
- **Mailing address:** 4818 WASHINGTON BLVD STE 4013, SAINT LOUIS, MO 63108-1829
- **Mailing address phone:** (314) 948-4602
- **Mailing address fax:** (314) 590-2759

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 163WC1500X | Community Health Registered Nurse | — | NULL | — |
| 163WC1500X | Community Health Registered Nurse | — | — | — |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | — | NULL | — |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | — | — | — |
| 172A00000X | Driver | — | NULL | — |
| 172A00000X | Driver | — | — | — |
| 246RP1900X | Phlebotomy Technician | — | NULL | — |
| 246RP1900X | Phlebotomy Technician | — | — | — |
| 246Z00000X | Other Specialist/Technologist | — | NULL | — |
| 246Z00000X | Other Specialist/Technologist | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/07/2025
- **Last updated:** 12/10/2025