Provider Demographics
NPI:1982358008
Name:ATLANTA BIOMEDICAL CLINICAL RESEARCH
Entity Type:Organization
Organization Name:ATLANTA BIOMEDICAL CLINICAL RESEARCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MORSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-606-6254
Mailing Address - Street 1:150 WYNFIELD WAY SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-6837
Mailing Address - Country:US
Mailing Address - Phone:404-606-6254
Mailing Address - Fax:
Practice Address - Street 1:950 DANNON VW SW STE 4102
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-2159
Practice Address - Country:US
Practice Address - Phone:678-515-3446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch