PCG Molecular, LLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

PCG MOLECULAR, LLC

Practice address

755 Mount Vernon Hwy NE Ste 230
Atlanta, GA 30328-4277

Phone

(404) 301-4460

Fax

(404) 220-9917

NPI assigned

Feb 12, 2019

Last updated

May 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Armando Moncada, MD

Title

Owner

Phone

(404) 213-5615

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1538625868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5485 BETHELVIEW RD STE 360-366",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409735",
            "telephone_number": "404-213-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE STE 230",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284277",
            "telephone_number": "404-301-4460",
            "fax_number": "404-220-9917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Blairsville",
            "state": "GA",
            "postal_code": "305123139",
            "country_code": "US",
            "telephone_number": "706-745-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 S Main St",
            "address_purpose": "LOCATION",
            "city": "Hiawassee",
            "state": "GA",
            "postal_code": "305463408",
            "country_code": "US",
            "telephone_number": "706-896-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5485 Bethelview Rd Ste 360-366",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300409735",
            "country_code": "US",
            "telephone_number": "404-213-5615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PCG MOLECULAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "MONCADA",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-213-5615",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.