Provider Demographics
NPI:1588087910
Name:PRECISION LABS, LLC
Entity type:Organization
Organization Name:PRECISION LABS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERARD
Authorized Official - Middle Name:
Authorized Official - Last Name:PERILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-420-1623
Mailing Address - Street 1:303 E WOOLBRIGHT RD
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-6010
Mailing Address - Country:US
Mailing Address - Phone:561-350-3888
Mailing Address - Fax:
Practice Address - Street 1:411 S FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-4931
Practice Address - Country:US
Practice Address - Phone:561-350-3888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-21
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory