Organization
PRECISION DIAGNOSTIX LLC
Active
Other names
PRECISION DIAGNOSTIX LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED S IBRAHIM (OWNER)
(904) 563-4640
Entity
Organization
Contact information
Practice address
917 SE LINCOLN AVE, STUART, FL 34994-3810
(904) 563-4640
Mailing address
917 SE LINCOLN AVE, STUART, FL 34994-3810
(904) 563-4640
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D2189524
CLIA
—
Enumeration date
11/05/2020
Last updated
11/05/2020
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