Clinical Research Prime
Organization Active NPI Research Clinic/Center · Idaho Falls, ID
NPI 1124560230 · NPPES record last updated Nov 7, 2016
Key facts
- NPI
- 1124560230
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Research Clinic/Center 261QR1100X
- License
- M5835 (ID)
- Legal business name
- CLINICAL RESEARCH PRIME
- Practice address
- 187 E 13TH St
Idaho Falls, ID 83404-5305 - Phone
- (208) 497-0600
- NPI assigned
- Nov 7, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Justin Baker, PHD
- Title
- President, Chief Research Officer
- Phone
- (208) 497-0600
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Research Clinic/Center | 261QR1100X | M5835 | ID | Yes |
Addresses
Primary practice location
187 E 13TH St
Idaho Falls, ID 83404-5305
Mailing address
187 E 13TH St
Idaho Falls, ID 83404-5305
Phone (208) 497-0600
Other providers in Idaho Falls, ID
- Brent Clayson
- Dorthy C Clayton
- Ashley Clement
- Tina Renee Cleverley
- Neal J Clinger
- Cloudnine Home Care LLC
- Clover Caregivers LLC
- Cloverleaf Therapy, LLC
- Club Inc
- Club, Inc.
All providers in Idaho Falls, ID · Research Clinic/Center in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.