| NPI | 1104959485 |
|---|---|
| Doing Business As | CLINICA DE LA MAMA |
| Entity Type | Organization |
| Authorized Contact | TRACEY COTA COO 770-613-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |