| Organization Name: | THE CLINIC FOR ALL / LA CLINICA DE TODOS, LLC |
| NPI Number: | 1053598284 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA P FERGUSON (AGENT) |
| Mailing Address: | 1795 Washington Rd East Point |
| State: | GA US |
| Postal Code: | 303444149 |
| Phone Number: | 4045595190 |
| Fax Number: | 4045595189 |
| NPI Enumeration Date: | 01/30/2008 |
| NPI Last Update Date: | 08/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0006X |
| License Number: | 25399 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Fertility Facility |
| Taxonomy Definition: | A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO) |