Organization Active NPI

Hanson Clinical Research Center, Inc

  • Non-Pharmacy Dispensing Site
  • Port Charlotte, FL
National Provider Identifier
1295144541
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
ME67817 Issued in FL
Legal business name
HANSON CLINICAL RESEARCH CENTER, INC
Practice address
21216 Olean Blvd
Suite 8
Port Charlotte, FL 33952-6722
Phone
(941) 764-9110
Fax
(941) 764-9123
NPI assigned
Aug 11, 2014
Last updated
Aug 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lenita Hanson, MDNPI 1225128572
Title
President
Phone
(941) 764-9110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X ME67817 FL Primary

Addresses

Primary practice location

21216 Olean Blvd
Suite 8
Port Charlotte, FL 33952-6722

Mailing address

21216 Olean Blvd
Suite 8
Port Charlotte, FL 33952-6722
Phone (941) 764-9110

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2058591Hanson Clinical Research Center, Inc21216 Olean Blvd Suite 6 & 7, Port Charlotte, FL 33952Certificate of waiverMay 8, 2027

National Provider Directory

National Provider Directory

Locations

21216 Olean Blvd
Ste 8
Pt Charlotte, FL 33952
Phone (941) 883-3225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1295144541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21216 OLEAN BLVD",
            "address_2": "SUITE 8",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526722",
            "telephone_number": "941-764-9110",
            "fax_number": "941-764-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21216 OLEAN BLVD",
            "address_2": "SUITE 8",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526722",
            "telephone_number": "941-764-9110",
            "fax_number": "941-764-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSON CLINICAL RESEARCH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "LENITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-764-9110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME67817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.