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SAN PABLO MEDICAL CLINIC
NPI 1619037769
Clinic/Center - Primary Care in Dalton, GA

Active since December 11, 2006CLIA 11D1006249 · Waiver
1217 MEMORIAL DR SUITE 2, DALTON, GA 30720(706) 270-5990(706) 270-5992 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About San Pablo Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN PABLO MEDICAL CLINIC (NPI 1619037769) is a healthcare organization registered as a primary care in Dalton, Georgia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Firoz Patha, President, as its authorized official.

NPPES Registry Identity

NPI1619037769
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameAR MEDICAL LLC
Location Address1217 MEMORIAL DR SUITE 2Dalton, GA 30720-2535
Mailing Address809 Peachtree StreetLouisville, GA 30434-1449 · (478) 625-7597 · Fax (478) 625-8364
Phone(706) 270-5990
Fax(706) 270-5992
Organization SubpartNo
Authorized OfficialFiroz PathaPresident · (478) 625-7597
Enumeration DateDecember 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1619037769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1217 MEMORIAL DR SUITE 2, Dalton, GA 30720
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Other Names 1

Doing Business AsSan Pablo Medical Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1006249

San Pablo Medical Clinic, LLC · Dalton, GA
Active · expires Nov 12, 2026
CLIA Number11D1006249
Laboratory TypeRural Health Clinic
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorJulia Garcia MD
Laboratory Phone(706) 270-5990
Laboratory LocationSan Pablo Medical Clinic, LLC1906 Shields Road, Dalton, GA 30720
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is AR MEDICAL LLC's NPI number?

The NPI number assigned to this healthcare provider is 1619037769, enumerated as an "organization" on December 11, 2006.

Where is the provider located?

The provider is located at 1217 MEMORIAL DR SUITE 2 DALTON, GA 30720 and the phone number is (706) 270-5990.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.