Organization
MEDPRO POINT OF CARE MOBILE SERVICES, LLC
Active
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
6941 GA-92 SUITE 120A, ACWORTH, GA 30189
(770) 402-8116
(404) 855-0061
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2025
Last updated
08/11/2026
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