Provider Demographics
NPI:1184009458
Name:BIOSOLUTIONS CLINICAL RESEARCH CENTER
Entity type:Organization
Organization Name:BIOSOLUTIONS CLINICAL RESEARCH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HAKIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MOAHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-861-5314
Mailing Address - Street 1:5565 GROSSMONT CENTER DR
Mailing Address - Street 2:BUILDING 3, SUITE 256
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941
Mailing Address - Country:US
Mailing Address - Phone:619-450-1524
Mailing Address - Fax:619-479-6726
Practice Address - Street 1:5565 GROSSMONT CENTER DR
Practice Address - Street 2:BUILDING 3, SUITE 256
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941
Practice Address - Country:US
Practice Address - Phone:619-450-2152
Practice Address - Fax:619-479-6726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service