OrganizationActive
Pncc Diagnostics LLC
NPI 1114773363 · Point of Service · Washington, DC
Provider details
- NPI number
- 1114773363
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Jessica Carpenter, Physician(202) 387-0168
Specialties & taxonomies
Managed Care Organizations
Practice location
1117 Columbia Rd Nw
Washington, DC 20009-5964
Phone: (202) 387-0168
Approximate (ZIP-level) locationGet directions
Mailing address
1117 Columbia Rd Nw
Washington, DC 20009-5964
Other names (DBA / former)
- Other name
- Pncc Diagnostics LLC
Registry dates
- Enumerated
- 2024-04-29
- Last updated
- 2024-04-29
- Certified
- 2024-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.