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PRECISION FAMILY MEDICINE & AESTHETICS LLC
NPI 1760119986
Clinic/Center - Primary Care in Idaho Falls, ID

Active since August 07, 2022CLIA 13D2287657 · Waiver
2001 S WOODRUFF AVE STE 11, IDAHO FALLS, ID 83404(208) 757-1000 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 13, 2022, Aug 7, 2022 (2 updates tracked since 2022).

About Precision Family Medicine & Aesthetics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRECISION FAMILY MEDICINE & AESTHETICS LLC (NPI 1760119986) is a healthcare organization registered as a primary care in Idaho Falls, Idaho and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through August 15, 2027 and lists Bradley Radford, Owner, as its authorized official.

NPPES Registry Identity

NPI1760119986
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePRECISION FAMILY MEDICINE & AESTHETICS LLC
Location Address2001 S WOODRUFF AVE STE 11Idaho Falls, ID 83404-6372
Mailing Address2001 S Woodruff Ave Ste 11Idaho Falls, ID 83404-6372
Phone(208) 757-1000
Organization SubpartNo
Authorized OfficialBradley RadfordOwner · (208) 419-3271
Enumeration DateAugust 7, 2022
Last NPPES UpdateOctober 13, 20222 updates tracked since enumeration
NPPES CertifiedOctober 13, 2022
✔ NPI 1760119986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2001 S WOODRUFF AVE STE 11, Idaho Falls, ID 83404
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2287657

Precision Family Medicine & Aesthetics LLC · Idaho Falls, ID
Active · expires Aug 15, 2027
CLIA Number13D2287657
Laboratory TypePhysician Office
Certificate Effective DateAugust 16, 2025
Certificate Expiration DateAugust 15, 2027
Laboratory DirectorBradley Radford
Laboratory Phone(208) 419-3271
Laboratory LocationPrecision Family Medicine & Aesthetics LLC2001 S Woodruff Ave Ste 4, Idaho Falls, ID 83404
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADVANCED MENTAL HEALTH AND NEUROFEEDBACK
Clinic/Center (Mental Health (Including Community Mental Health Center))
2001 S WOODRUFF AVE STE 11
IDAHO FALLS, ID 83404
Bonneville County (208) 705-6771
ADVANCED HEALTHCARE OF IDAHO
Chiropractor
2001 S WOODRUFF AVE STE 11
IDAHO FALLS, ID 83404
Bonneville County (208) 573-6999
NEUROFEEDBACK CENTER
Chiropractor
2001 S WOODRUFF AVE STE 11
IDAHO FALLS, ID 83404
Bonneville County (208) 206-0599

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Precision Family Medicine & Aesthetics LLC's NPI number?

The NPI number for Precision Family Medicine & Aesthetics LLC is 1760119986. It was assigned to this organization in the NPPES registry on August 7, 2022.

Where is Precision Family Medicine & Aesthetics LLC located?

Precision Family Medicine & Aesthetics LLC is located at 2001 S Woodruff Ave Ste 11, Idaho Falls, ID 83404. The listed phone number is (208) 757-1000.

What is Precision Family Medicine & Aesthetics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Precision Family Medicine & Aesthetics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2287657) is associated with this NPI, valid through August 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Precision Family Medicine & Aesthetics LLC was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.