Organization
PCL LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWIT MENGESHA (PRESIDENT)
(470) 418-4458
Entity
Organization
Contact information
Practice address
4600 E PONCE DE LEON AVE STE B, CLARKSTON, GA 30021-1839
(470) 418-4458
Mailing address
4600 E PONCE DE LEON AVE STE B, CLARKSTON, GA 30021-1839
(470) 418-4458
(303) 653-6412
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
04/25/2022
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