PRECISION TOXICOLOGY, LLC (NPI# 1114319563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114319563 |
| Entity Type | Organization |
| Organization Name | PRECISION TOXICOLOGY, LLC |
| Other Organization Name | PRECISION DIAGNOSTICS |
| Practice Address |
836 Farmington Ave Suite 212 West Hartford CT 06119-1505 |
| Mailing Address |
6755 Mira Mesa Blvd Suite 123-153 San Diego CA 92121-4392 |
| Practice Telephone | 8006356901 |
| Practice Fax Number | 8582289909 |
| Mailing Telephone | 8006356901 |
| Mailing Fax Number | 8582289909 |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2019-08-23 |
| Authorized Official Name | MIGUEL GALLEGO (CEO) |
| Authorized Official Telephone | 8006356901 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | CT | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1114319563 | 05 |
| Other Name | Type Code |
|---|---|
| Precision Diagnostics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043737505 | Precision Toxicology, LLC | Clinical Medical Laboratory | 49 State Rd Ste 103n, Dartmouth, MA 02747-3303 | 2017-08-25 |
| 1730466590 | Precision Toxicology, LLC | Clinical Medical Laboratory | 4215 Sorrento Valley Blvd, San Diego, CA 92121-1408 | 2011-11-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRECISION TOXICOLOGY, LLC | 4215 Sorrento Valley Blvd, San Diego, CA 92121-1408 |
| Colorado Business Entities | PRECISION TOXICOLOGY, LLC | 4215 Sorrento Valley Blvd, San Diego, CA 92121 |
| Iowa Business Entities | PRECISION TOXICOLOGY, LLC | 4215 Sorrento Valley Blvd, Ste 101, San Diego, CA 92121 |
| Vermont Business Registrations | PRECISION TOXICOLOGY, LLC | 3030 Bunker Hill Street, Suite 101, San Diego, CA 92109 |
| Oregon Corporations, Companies and Business Names | PRECISION TOXICOLOGY, LLC | 4215 Sorrento Valley Blvd, San Diego, CA 92121 |
| Connecticut Business Registrations | PRECISION TOXICOLOGY, LLC | 4215 Sorrento Valley Blvd, San Diego, CA 92121 |
| Massachusetts Corporations | PRECISION TOXICOLOGY, LLC | 3030 Bunker Hill St. Ste. 101, San Diego, CA 92109 |
| Indiana Business Entities | PRECISION TOXICOLOGY, LLC | 3030 Bunker Hill St, Suite 101, San Diego, CA 92109 |
| Street Address |
836 FARMINGTON AVE SUITE 212 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063413615 | Donald James Salzberg | Ophthalmology | 836 Farmington Ave, Suite 121, West Hartford, CT 06119-1505 | 2005-08-04 |
| 1457895419 | Soul Therapy, LLC | Counselor | 836 Farmington Ave, Suite 221, West Hartford, CT 06119-1505 | 2016-12-10 |
| 1447597315 | New England Food Allergy Treatment Center | Allergy & Immunology | 836 Farmington Ave, Suite 138, West Hartford, CT 06119-1505 | 2013-01-11 |
| 1104183409 | Central Ctonnecticut Oral Maxillofacial& Implant Surgery, PC | Clinic/Center | 836 Farmington Ave, Suite 223, West Hartford, CT 06119-1505 | 2012-04-12 |
| 1255603353 | Andrea Loftus LLC | Social Worker | 836 Farmington Ave, Suite 217b, West Hartford, CT 06119-1505 | 2012-02-04 |
| 1619246691 | Erica M Cuni | Marriage & Family Therapist | 836 Farmington Ave, Suite 217b, West Hartford, CT 06119-1505 | 2011-12-21 |
| 1780960385 | Dependable Optical, LLC | Technician/Technologist | 836 Farmington Ave, Suite 121, West Hartford, CT 06119-1505 | 2011-10-26 |
| 1326324922 | Pavel Krubitski | Technician/Technologist | 836 Farmington Ave, Suite 121, West Hartford, CT 06119-1505 | 2011-10-26 |
| 1477863710 | Ashley Bolella | Social Worker | 836 Farmington Ave, Suite 221, West Hartford, CT 06119 | 2010-10-20 |
| 1174839005 | Dorothy Uhrlass | Psychologist | 836 Farmington Ave, Ste 221c, West Hartford, CT 06119-1505 | 2010-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063957389 | Hannah Aliberti | Behavioral Analyst | 792 Farmington Ave, West Hartford, CT 06119 | 2016-12-21 |
| 1255752945 | Ctuc01 | Clinic/Center | 1030 Boulevard, West Hartford, CT 06119 | 2013-12-23 |
| 1962757088 | Arman Samad-zadeh | Dentist | 836 Farmington Ave Ste 115, West Hartford, CT 06119 | 2012-07-15 |
| 1356606123 | East West Obgyn | Obstetrics & Gynecology | 836 Farmington Ave. S. 211, West Hartford, CT 06119 | 2012-07-09 |
| 1285901314 | Onyeijen Mgbejume | Pharmacist | 674 Famington Avenue, West Hartford, CT 06119 | 2011-11-17 |
| 1134403553 | Cornelia F Sharrow | Social Worker | 17 South Highland St, West Hartford, CT 06119 | 2011-10-04 |
| 1952613218 | Lauren B Kopyt | Pediatrics | 785 Farmington Avenue, West Hartford, CT 06119 | 2010-07-02 |
| 1043542657 | Leticia Jacquet | Physical Therapist | 1022 Boulevard, #274, West Hartford, CT 06119 | 2010-02-06 |
| 1003051467 | Emily Bevelaqua Pellegrino | Music Therapist | 72 Maplewood Ave, West Hartford, CT 06119 | 2008-12-12 |
| 1124233473 | Theresa M Johnson | Counselor | 361 Park Rd, 3rd Fl, West Hurtford, CT 06119 | 2007-05-11 |
| Find all providers in zip 06119 | ||||
| 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 |
|---|---|---|---|---|
| 1255657144 | Affordable Clinical Testing of Ct | Clinical Medical Laboratory | 2 Park Place Cir, West Hartford, CT 06110-1426 | 2010-04-16 |
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|---|---|---|---|---|
| 1033734215 | Dot Laboratories, Inc. | Clinical Medical Laboratory | 780 E Main St Ste 1, Branford, CT 06405-2956 | 2020-06-12 |
| 1649818006 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1290 Summer St Ste 5100, Stamford, CT 06905-5339 | 2019-12-17 |
| 1720626328 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2 1/2 Dearfield Dr # 1, Greenwich, CT 06831-5335 | 2019-12-13 |
| 1568008118 | Enzo Clinical Labs, Inc. | Clinical Medical Laboratory | 4 Corporate Dr Ste 283, Shelton, CT 06484-6211 | 2019-11-19 |
| 1639713225 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2284 Berlin Turnpike, Newington, CT 06111-3202 | 2019-11-06 |
| 1174179972 | Dna Med Tuning | Clinical Medical Laboratory | 10 Jefferson St Unit C3, Hartford, CT 06106-2515 | 2019-08-16 |
| 1972163913 | New England Labs LLC | Clinical Medical Laboratory | 446 Main St Ste B, Monroe, CT 06468-1114 | 2019-06-20 |
| 1124536107 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 3 Forest Pkwy, Shelton, CT 06484-6122 | 2018-01-12 |
| 1477060275 | Aurora Labs LLC | Clinical Medical Laboratory | 470 West Ave Ste 2005, Stamford, CT 06902-6359 | 2018-01-03 |
| 1235677659 | Coopergenomics,inc | Clinical Medical Laboratory | 75 Corporate Dr, Trumbull, CT 06611-1350 | 2017-02-06 |
| Find all providers with the same taxonomy | ||||
| City | WEST HARTFORD |
| Zip Code | 06119 |
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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.