Active NPI
Precision Clinical Laboratory PCL
- Clinical Medical Laboratory
- Alexandria, VA
National Provider Identifier
1861201022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- PRECISION CLINICAL LABORATORY PCL
- Practice address
- 85 S Bragg St Ste 101
Alexandria, VA 22312-2799 - Phone
- (720) 400-4412
- NPI assigned
- Jan 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joyce Mengesha
- Title
- Owner
- Phone
- (720) 400-4412
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
85 S Bragg St Ste 101
Alexandria, VA 22312-2799
Mailing address
85 S Bragg St Ste 101
Alexandria, VA 22312-2799
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735776000000",
"number": "1861201022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 S BRAGG ST STE 101",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223122799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 S BRAGG ST STE 101",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223122799",
"telephone_number": "720-400-4412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECISION CLINICAL LABORATORY PCL",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-02",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A",
"authorized_official_last_name": "MENGESHA",
"authorized_official_first_name": "JOYCE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "720-400-4412"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.