Healthcare Provider Details

I. General information

NPI: 1558186197
Provider Name (Legal Business Name): SONAR CLINICAL RESEARCH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2024
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

483 UPPER RIVERDALE RD SW STE K
RIVERDALE GA
30274-2584
US

IV. Provider business mailing address

483 UPPER RIVERDALE RD SW STE K
RIVERDALE GA
30274-2584
US

V. Phone/Fax

Practice location:
  • Phone: 470-746-7814
  • Fax: 678-935-0790
Mailing address:
  • Phone: 404-850-9900
  • Fax: 678-935-0790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR1100X
TaxonomyResearch Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: VINCENT AKINOLA
Title or Position: PRESIDENT/CEO
Credential: MD
Phone: 404-850-9900