Medpro Point of Care Mobile Services, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MEDPRO POINT OF CARE MOBILE SERVICES, LLC

Practice address

5701 Mableton Pkwy SW Ste 112
Mableton, GA 30126-3395

Phone

(770) 402-8116

Fax

(404) 566-7923

NPI assigned

Aug 22, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Latoya Blake, PA-S, CCMA, CPHT

Title

Ceo/Owner

Phone

(770) 402-8116

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1154209666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6941 GA-92 SUITE 120A",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "30189",
            "telephone_number": "770-402-8116",
            "fax_number": "404-855-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 MABLETON PKWY SW STE 112",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301263395",
            "telephone_number": "770-402-8116",
            "fax_number": "404-566-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPRO POINT OF CARE MOBILE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-22",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "770-402-8116",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-S, CCMA, CPHT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Mableton, GA
• Providers in Mableton, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.