| Medtest Mobile Group | |
|
4780 W Mission Blvd Ste 207 Montclair CA 91762-4406 | |
| (914) 774-9722 | |
| Not Available |
| Full Name | Medtest Mobile Group |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 4780 W Mission Blvd Ste 207, Montclair, California |
| Authorized Official Name and Position | Vincent Anthony Covelli (CEO) |
| Authorized Official Contact | 7602416666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medtest Mobile Group 4780 W Mission Blvd Ste 207 Montclair CA 91762-4406 Ph: (914) 774-9722 | Medtest Mobile Group 4780 W Mission Blvd Ste 207 Montclair CA 91762-4406 Ph: (914) 774-9722 |
| NPI Number | 1114723418 |
|---|---|
| Provider Enumeration Date | 02/19/2025 |
| Last Update Date | 03/31/2025 |
| Certification Date | 03/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114723418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | () | Primary |
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