Organization
PCG MOLECULAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARMANDO MONCADA MD (OWNER)
(404) 213-5615
Entity
Organization
Contact information
Practice address
755 MOUNT VERNON HWY NE STE 230, ATLANTA, GA 30328-4277
(404) 301-4460
(404) 220-9917
Mailing address
5485 BETHELVIEW RD STE 360-366, CUMMING, GA 30040-9735
(404) 213-5615
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
02/12/2019
Last updated
05/25/2023
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