Organization
CCRM ATLANTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT PORTNOY (BUSINESS DEVELOPMENT)
(303) 908-9375
Entity
Organization
Contact information
Practice address
5909 PEACHTREE DUNWOODY RD, SUITE 720, ATLANTA, GA 30328-8102
(303) 908-9375
Mailing address
9800 MT PYRAMID CT, SUITE 400, ENGLEWOOD, CO 80112-5999
(303) 908-9375
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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