Provider Demographics
NPI:1962224261
Name:PCR LABS OF AMERICA, INC
Entity type:Organization
Organization Name:PCR LABS OF AMERICA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER / AUTH OFF
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MANSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-818-4925
Mailing Address - Street 1:1464 E. WHITESTONE BLVD
Mailing Address - Street 2:SUITE 2401
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1464 E. WHITESTONE BLVD
Practice Address - Street 2:SUITE 2401
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613
Practice Address - Country:US
Practice Address - Phone:248-513-1391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-28
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory