Provider Demographics
NPI:1619242492
Name:RADIANT RESEARCH, INC.
Entity Type:Organization
Organization Name:RADIANT RESEARCH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL INVESTIGATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BERTRAND
Authorized Official - Middle Name:
Authorized Official - Last Name:NEDOSS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-885-6793
Mailing Address - Street 1:7840 E BROADWAY BLVD
Mailing Address - Street 2:SUITE #140
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-3940
Mailing Address - Country:US
Mailing Address - Phone:520-885-6793
Mailing Address - Fax:520-886-8933
Practice Address - Street 1:7840 E BROADWAY BLVD
Practice Address - Street 2:SUITE #140
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-3940
Practice Address - Country:US
Practice Address - Phone:520-885-6793
Practice Address - Fax:520-886-8933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ250891744R1102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744R1102XOther Service ProvidersSpecialistResearch StudyGroup - Multi-Specialty