Active NPI
Clinical Research of the Ozarks, Inc.
- Research Clinic/Center
- Rolla, MO
National Provider Identifier
1245507326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Research Clinic/Center
- Legal business name
- CLINICAL RESEARCH OF THE OZARKS, INC.
- Practice address
- 509 E 10TH St
Rolla, MO 65401-3302 - Phone
- (573) 364-7777
- Fax
- (573) 341-2981
- NPI assigned
- Nov 17, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vicki Pederson
- Title
- Director
- Phone
- (573) 364-7777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Research Clinic/Center | 261QR1100X | Primary |
Addresses
Primary practice location
509 E 10TH St
Rolla, MO 65401-3302
Mailing address
509 E 10TH St
Rolla, MO 65401-3302
Phone (573) 364-7777
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321488000000",
"number": "1245507326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 E 10TH ST",
"city": "ROLLA",
"state": "MO",
"postal_code": "654013302",
"telephone_number": "573-364-7777",
"fax_number": "573-341-2981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 E 10TH ST",
"city": "ROLLA",
"state": "MO",
"postal_code": "654013302",
"telephone_number": "573-364-7777",
"fax_number": "573-341-2981"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICAL RESEARCH OF THE OZARKS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-17",
"last_updated": "2011-11-17",
"status": "A",
"authorized_official_last_name": "PEDERSON",
"authorized_official_first_name": "VICKI",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "573-364-7777"
},
"taxonomies": [
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.