Provider Demographics
NPI:1144488941
Name:PRECISION DIAGNOSTIC INC
Entity type:Organization
Organization Name:PRECISION DIAGNOSTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAN A SUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-623-8346
Mailing Address - Street 1:2311 10TH AVENUE NORTH
Mailing Address - Street 2:STE 1
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461
Mailing Address - Country:US
Mailing Address - Phone:561-623-8346
Mailing Address - Fax:
Practice Address - Street 1:2311 10TH AVENUE NORTH
Practice Address - Street 2:STE 1
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461
Practice Address - Country:US
Practice Address - Phone:561-623-8346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-28
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)