PRECISION CLINICAL DIAGNOSTICS LLC (NPI# 1700424389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700424389 |
| Entity Type | Organization |
| Organization Name | PRECISION CLINICAL DIAGNOSTICS LLC |
| Practice Address |
6323 Georgia Ave Nw Ste 102 Washington DC 20011-1137 |
| Practice Telephone | 7204004412 |
| Mailing Telephone | 7204004412 |
| Enumeration Date | 2019-12-14 |
| Last Update Date | 2019-12-14 |
| Authorized Official Name | HAIMANOT HAILE (MBR) |
| Authorized Official Telephone | 7204004412 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| Street Address |
6323 GEORGIA AVE NW STE 102 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20011-1137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962936393 | Kirsten Bridgeford | Technician, Pathology | 6323 Georgia Ave Nw Ste 102, Washington, DC 20011-1137 | 2017-04-12 |
| 1457999039 | Precision Clinical Laboratory LLC | Clinical Medical Laboratory | 6323 Georgia Ave Nw Ste 102, Washington, DC 20011-1137 | 2019-12-14 |
| 1801434485 | Precision Clinical Imaging LLC | Clinic/Center | 6323 Georgia Ave Nw Ste 102, Washington, DC 20011-1137 | 2019-12-14 |
| 1649704073 | Malik Ali | Specialist | 6323 Georgia Ave Nw Ste 102, Washington, DC 20011-1137 | 2017-04-12 |
| 1679007199 | Dawn Harrison | Technician, Pathology | 6323 Georgia Ave Nw Ste 102, Washington, DC 20011-1137 | 2017-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999239 | Anna Gwanyama | Licensed Practical Nurse | 6120 Kansas Avenue Northwest, Washington D.c, DC 20011 | 2020-10-16 |
| 1861005399 | Christine Jokisch | Social Worker | 33rd Riggs Rd Ne, Washington, DC 20011 | 2020-08-25 |
| 1407403645 | Allied Healthcare Group LLC | Home Health | 6120 Kansas Ave, Nw, 1st Floor, A, Washington, DC 20011 | 2019-08-22 |
| 1871146548 | Bernice Mccallum | Technician | 1336 Missouri Ave. N.w #321, Washington, DC 20011 | 2019-07-22 |
| 1114586484 | District Urgent Care Professional Corporation | Clinic/Center | 4903-b Georgia Av, Washington, DC 20011 | 2019-06-11 |
| 1053978908 | Aminata U Nabie | Licensed Practical Nurse | 6120 Kansas Ave., Nw, Washington, DC 20011 | 2019-05-28 |
| 1831656768 | Prudence Dakam Siewe | Home Health Aide | 931 Longfellow St Nw, 311, Washington, DC 20011 | 2019-02-27 |
| 1750858304 | Hilary Lauren Kulig | Counselor | 100 Galentine St. Ne, Washington, DC 20011 | 2018-10-31 |
| 1154807444 | Emebet Dessalgn Atnaw | Home Health Aide | 6040 13th Pl Nw Apt 306, Washington, DC 20011 | 2018-07-19 |
| 1881185213 | Quality One Care Home Health Inc. | Home Health | 143 Kennedy St Nw Ste 14, Washington, DC 20011 | 2018-05-22 |
| Find all providers in zip 20011 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702184 | Pdi Health Dc LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1300 I St Nw # 400, Washington, DC 20005-3314 | 2020-05-20 |
| 1720614944 | Cardio Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3542 Hertford Pl Nw, Washington, DC 20010-3038 | 2020-03-19 |
| 1003126640 | Alpha Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2700 Martin Luther King Jr Ave Se, Washington, DC 20032-2601 | 2010-10-18 |
| 1629259262 | Alpha Diagnostic Services, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2700 Martin Luther King Jr Ave Se, Bldg Ct8 Room 3, Washington, DC 20032-2601 | 2007-11-26 |
| 1215004007 | Rad Mobile, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 700 Constitution Ave Ne, Washington, DC 20002-6058 | 2006-11-29 |
| City | WASHINGTON |
| Zip Code | 20011 |
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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.