# PRECISION DIAGNOSTIC OF PORT ST LUCIE LLC

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

## Provider details

- **NPI number:** 1790667566
- **Authorized official:** BRIAN CHAN A SUE (CFO)
- **Authorized official phone:** (561) 623-8346

## Contact information

- **Practice address:** 879 E PRIMA VISTA BLVD, PORT ST LUCIE, FL 34952-2342
- **Practice address phone:** (772) 344-7566
- **Mailing address:** 879 E PRIMA VISTA BLVD, PORT ST LUCIE, FL 34952-2342
- **Mailing address phone:** (772) 344-7566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/23/2025
- **Last updated:** 07/23/2025