PCR-DX, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PCR-DX, LLC

Practice address

2112 11TH Ave S Ste 110
Birmingham, AL 35205-2843

Phone

(205) 882-5227

NPI assigned

Aug 2, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Lilly

Title

Cfo

Phone

(205) 706-7727

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Tsela Scientific Laboratories LLC

  • Clinical Medical Laboratory
  • Birmingham, AL
  • NPI 1558060145

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1265042592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 11TH AVE S STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052843",
            "telephone_number": "205-706-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 11TH AVE S STE 110",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052843",
            "telephone_number": "205-882-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCR-DX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-02",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "LILLY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-706-7727"
    },
    "taxonomies": [
        {
            "code": "207SM0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Molecular Genetic Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas J. Payne III, M.D.
• Tracy Jean Payton, MSN, APRN, FNP-C
• Valerie Dannette Paz-Cuevas
• Dannelle Paz
• Crystal Pazder, PA
• Mary M Peach, FNP-C
• Morgan Peach, RDN
• Ryan Peach, DO
• Harriet Peacock, MA, LPC
• Renee A Peacock, PH.D.

• Clinical Medical Laboratory in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Clinical Medical Laboratory in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.