Clinica De La Mama

LBN: Cota Medical Management
Clinica De La Mama is an health care organization with primary practice located at 3750 Venture Dr Suite 140, Duluth GA 30096-1808. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Cota Medical Management can be contacted via phone (678) 584-5865, or through Cota, Felipe via phone (678) 584-5865.

Contact Information

Primary practice address
3750 Venture Dr Suite 140 Duluth GA 30096-1808
Phone: (678) 584-5865
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cota, Felipe
Phone: (678) 584-5865

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 2015007976 Georgia

Profile Details

NPI number 1487027736
LBN Legal business name Cota Medical Management
DBA Doing business as Clinica De La Mama
Authorized official Cota, Felipe
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2015
Last updated Nov 9th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487027736 NPPES
Georgia MEDICAID 10937577239
Georgia MEDICAID 10533405993

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