Provider Demographics
NPI:1720489834
Name:ATLAS GENOMICS LLC
Entity Type:Organization
Organization Name:ATLAS GENOMICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LABORATORY DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KALNOSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-714-6022
Mailing Address - Street 1:2296 W COMMODORE WAY
Mailing Address - Street 2:STE 220
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98199-1565
Mailing Address - Country:US
Mailing Address - Phone:888-618-9107
Mailing Address - Fax:
Practice Address - Street 1:2296 W COMMODORE WAY
Practice Address - Street 2:STE 220
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98199-1565
Practice Address - Country:US
Practice Address - Phone:206-714-1398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-08
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA50D2079714291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory