MEDICARE: MINT CLEARPATH SCREENING SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1609727460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINT CLEARPATH SCREENING SOLUTIONS

Provider Business Mailing Address
First Line	:	3455 N DESERT DR STE 105
Second Line	:
City	:	EAST POINT
State	:	GA
Zip	:	30344-5725
Country	:	US
Telephone Number	:	229-279-6047
Fax Number	:	404-800-3309

Provider Business Practice Location Address
First Line	:	3455 N DESERT DR STE 105
Second Line	:
City	:	EAST POINT
State	:	GA
Zip	:	30344-5725
Country	:	US
Telephone Number	:	229-279-6047
Fax Number	:	404-800-3309

Authorized Official
Title or Position	:	OWNER
Name	:	QUINTASHA ROBERTS
Credential	:
Telephone Number	:	229-279-6047

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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Directions to “MINT CLEARPATH SCREENING SOLUTIONS ” Practice Location

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