PREMIER CLINICAL RESEARCH NPI 1104571439

NPI Information

  • NPI: 1104571439
  • Provider Name: PREMIER CLINICAL RESEARCH
  • Classification: Clinic/Center - 261QR1100X
  • Specialization: Research
  • Entity Type: Organization
  • Doing Business As: STAT RESEARCH
  • CLIA Number: 36D2161775
  • Address: 66 REMICK BLVD
    SPRINGBORO, OH
    ZIP 45066
  • Phone: (937) 223-4229

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NPI Details

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 36D2161775 - other - clinical 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?

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This page was last updated on: 11/21/2025

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