Provider Demographics
NPI:1053018275
Name:PRECIPIO INC
Entity type:Organization
Organization Name:PRECIPIO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MEHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ILJAZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-787-7888
Mailing Address - Street 1:4 SCIENCE PARK STE 3
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-1962
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8813 F ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-1506
Practice Address - Country:US
Practice Address - Phone:203-787-7888
Practice Address - Fax:203-901-1289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory