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PATHOLOGY CONSULTANTS OF GEORGIA NPI 1730118498


NPI Information

NPI: 1730118498
Provider Name: PATHOLOGY CONSULTANTS OF GEORGIA

Doing Business As: PCG MOLECULAR

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
134 ANSLEY DRIVE
SUITE 500
DAHLONEGA, GA
ZIP 30533
Phone: (678) 601-6030
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PATHOLOGY CONSULTANTS OF GEORGIA is a clinical medical laboratory in Dahlonega, GA. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. PATHOLOGY CONSULTANTS OF GEORGIA NPI is 1730118498. The provider is registered as an organization entity type.
The provider Is Doing Business As Pcg Molecular.

The provider's business location address is:

134 ANSLEY DRIVE
SUITE 500
DAHLONEGA, GA
ZIP 30533-614
Phone: (678) 601-6030
Fax: (678) 928-9760

The provider's authorized official is Armando Moncada .
The authorized official title is Ceo/owner and has the following contact phone number (678) 601-6030.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 9/17/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical Laboratory053337GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
169WBDLWMEDICARE PINGEORGIA
2P00046967OTHERGEORGIARAILROAD MEDICARE #
3E68567MEDICARE UPINGEORGIA
4390808920AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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