Organization
PNCC DIAGNOSTICS LLC
Active
Organization
PNCC DIAGNOSTICS LLC
Active
Other names
PNCC Diagnostics LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA CARPENTER MD (PHYSICIAN)
(202) 387-0168
Entity
Organization
Contact information
Practice address
1117 COLUMBIA RD NW, WASHINGTON, DC 20009-5964
(202) 387-0168
Mailing address
1117 COLUMBIA RD NW, WASHINGTON, DC 20009-5964
(202) 387-0168
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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