Healthcare Provider Details

I. General information

NPI: 1184545717
Provider Name (Legal Business Name): CLEARTRACK MOBILE COLLECTION SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 WATSON BLVD # 1012
WARNER ROBINS GA
31093-3436
US

IV. Provider business mailing address

1302 WATSON BLVD # 1012
WARNER ROBINS GA
31093-3436
US

V. Phone/Fax

Practice location:
  • Phone: 478-796-9048
  • Fax: 866-877-2458
Mailing address:
  • Phone: 478-796-9048
  • Fax: 866-877-2458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MRS. VALARIE GOODEN
Title or Position: MANAGING MEMBER
Credential:
Phone: 478-796-9048