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SEC CLINICAL RESEARCH LLC NPI 1659022572


NPI Information

NPI: 1659022572
Provider Name: SEC CLINICAL RESEARCH, LLC
Classification: Clinic/Center - 261QR1100X
Entity Type: Organization

Specialization: Research

CLIA Number: 01D2238714

Address:
822 S THREE NOTCH ST STE B
ANDALUSIA, AL
ZIP 36420
Phone: (334) 504-7014
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SEC CLINICAL RESEARCH, LLC is a research clinic center in Andalusia, AL. SEC CLINICAL RESEARCH, LLC NPI is 1659022572. The provider is registered as an organization entity type.

The provider's business location address is:

822 S THREE NOTCH ST STE B
ANDALUSIA, AL
ZIP 36420-310
Phone: (334) 504-7014
Fax: (334) 222-3553

The provider's authorized official is Robert Garver .
The authorized official title is Site Director/investigator and has the following contact phone number (334) 504-7014.

The CLIA number assigned to this NPI record is 01D2238714 - other - research with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2022 and was last updated on 1/12/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR1100XClinic/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: 4/28/2024

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