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PREMIER CLINICAL RESEARCH NPI 1104571439


NPI Information

NPI: 1104571439
Provider Name: PREMIER CLINICAL RESEARCH

Doing Business As: STAT RESEARCH

Classification: Clinic/Center - 261QR1100X
Entity Type: Organization

Specialization: Research

CLIA Number: 36D2162719

Address:
66 REMICK BLVD
SPRINGBORO, OH
ZIP 45066
Phone: (937) 223-4229
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PREMIER CLINICAL RESEARCH is a research clinic center in Springboro, OH. PREMIER CLINICAL RESEARCH NPI is 1104571439. The provider is registered as an organization entity type.
The provider Is Doing Business As Stat Research.

The provider's business location address is:

66 REMICK BLVD
SPRINGBORO, OH
ZIP 45066-168
Phone: (937) 223-4229
Fax: (937) 424-9691

The provider's authorized official is Derek A. Tipton .
The authorized official title is President/ceo and has the following contact phone number (937) 262-4426.

The CLIA number assigned to this NPI record is 36D2162719 - other - research site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2022 and was last updated on 6/8/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareNo
2261QU0200XClinic/CenterUrgent CareNo
3261QR1100XClinic/CenterResearchYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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