Organization
PCR-DX, LLC
Active
Organization
PCR-DX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRADY PHILLIPS (PRESIDENT)
(205) 861-1951
Entity
Organization
Contact information
Practice address
720 MAIN ST SW STE D, GAINESVILLE, GA 30501-4400
(205) 861-1951
Mailing address
PO BOX 70608, TUSCALOOSA, AL 35407-0608
(205) 861-1951
Taxonomy
Speciality
Code
Description
License number
State
207SM0001X
Molecular Genetic Pathology (Medical Genetics) Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
10/05/2022
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