NPI 1104959485

Hispanic Medical Management

Organisation Clinical Medical Laboratory Norcross, GA

Practice location

Address: 5127 Jimmy Carter Blvd, Norcross, GA 30093-1619
Phone: (770) 613-0070
Fax: (770) 613-0909

Authorised official

Name: Tracey Cota
Title: Coo
Phone: (770) 613-0070

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Georgia →

Registry record

NPI: 1104959485
Entity type: Organization
NPI issued: 14 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.