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Organization

MEDPRO POINT OF CARE MOBILE SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LATOYA BLAKE PA-S, CCMA, CPHT (CEO/OWNER)
(770) 402-8116
Entity
Organization

Contact information

Practice address
5701 MABLETON PKWY SW STE 112, MABLETON, GA 30126-3395
(770) 402-8116
(404) 566-7923
Mailing address
5701 MABLETON PKWY SW STE 112, MABLETON, GA 30126-3395
(770) 402-8116
(404) 566-7923

Taxonomy

Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary

Other

Enumeration date
08/22/2025
Last updated
12/13/2025
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