TRI-STATE CLINICAL RESEARCH TRIALS LLC NPI 1447726807

NPI Information

NPI: 1447726807
Provider Name: TRI-STATE CLINICAL RESEARCH TRIALS, LLC
Classification: Clinic/Center - 261QR1100X
Entity Type: Organization

Specialization: Research

Address:
1303 VETERANS HWY
BRISTOL, PA
ZIP 19007
Phone: (215) 458-7114
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TRI-STATE CLINICAL RESEARCH TRIALS, LLC is a research clinic center in Bristol, PA. TRI-STATE CLINICAL RESEARCH TRIALS, LLC NPI is 1447726807. The provider is registered as an organization entity type.

The provider's business location address is:

1303 VETERANS HWY
BRISTOL, PA
ZIP 19007-514
Phone: (215) 458-7114
Fax: (215) 458-7994

The provider's authorized official is Bernard Ogon .
The authorized official title is Medical Director and has the following contact phone number (773) 983-2866.

The enumeration date for this NPI number is 10/23/2018 and was last updated on 10/23/2018.

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
1	261QR1100X	Clinic/Center	Research			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1028959680001	MEDICAID	PENNSYLVANIA

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

NPI Synchronization or Removal

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