| NPI | 1114773363 |
|---|---|
| Other Name | PNCC DIAGNOSTICS LLC |
| Entity Type | Organization |
| Authorized Contact | JESSICA CARPENTER Physician 202-387-0168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |