Provider Demographics
NPI:1528801156
Name:PRECISION PUNCTURES LLC
Entity type:Organization
Organization Name:PRECISION PUNCTURES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHLEBOTOMY INSTRUCTOR/ OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DOMINIQUE
Authorized Official - Middle Name:ADRIENNE
Authorized Official - Last Name:VOSGES
Authorized Official - Suffix:
Authorized Official - Credentials:CPI, CPT,
Authorized Official - Phone:757-236-0964
Mailing Address - Street 1:481 RUDDER RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-4826
Mailing Address - Country:US
Mailing Address - Phone:757-236-0964
Mailing Address - Fax:
Practice Address - Street 1:809 OBSIDIAN CT
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-4669
Practice Address - Country:US
Practice Address - Phone:757-236-0964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-12
Last Update Date:2024-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
No253Z00000XAgenciesIn Home Supportive Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center