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PRECISION ORTHOTIC LABORATORIES INC. NPI 1881756674


NPI Information

NPI: 1881756674
Provider Name: PRECISION ORTHOTIC LABORATORIES, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
1057 R ST
FRESNO, CA
ZIP 93721
Phone: (559) 441-7282
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PRECISION ORTHOTIC LABORATORIES, INC. is a customized equipment durable medical equipment medical supplies in Fresno, CA. PRECISION ORTHOTIC LABORATORIES, INC. NPI is 1881756674. The provider is registered as an organization entity type.

The provider's business location address is:

1057 R ST
FRESNO, CA
ZIP 93721-312
Phone: (559) 441-7282
Fax: (559) 441-7209

The provider's authorized official is Brian Kevin Crowder .
The authorized official title is President and has the following contact phone number (559) 441-7282.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentCO003684CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1XA0153181MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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