Organization Active NPI

Premier Clinical Research

  • Research Study Specialist
  • Spokane, WA
National Provider Identifier
1386911832
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Study SpecialistTaxonomy code 1744R1102X
Legal business name
PREMIER CLINICAL RESEARCH
Practice address
104 W 5TH Ave
320W
Spokane, WA 99204-4880
Phone
(509) 343-3710
Fax
(509) 242-1799
NPI assigned
Nov 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Authorized official

Name
Ms. Dalyn M Boehm, BS
Title
Director of Research/ Co Owner
Phone
(509) 879-6887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Study SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 1744R1102X Primary

Addresses

Primary practice location

104 W 5TH Ave
320W
Spokane, WA 99204-4880

Mailing address

104 W 5TH Ave
320W
Spokane, WA 99204-4880
Phone (509) 343-3710

National Provider Directory

National Provider Directory

Locations

104 W 5th Ave
#320W
Spokane, WA 99204
Phone (509) 343-3710

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1386911832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W 5TH AVE",
            "address_2": "320W",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992044880",
            "telephone_number": "509-343-3710",
            "fax_number": "509-242-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W 5TH AVE",
            "address_2": "320W",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992044880",
            "telephone_number": "509-343-3710",
            "fax_number": "509-242-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CLINICAL RESEARCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "BOEHM",
        "authorized_official_first_name": "DALYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF RESEARCH/ CO OWNER",
        "authorized_official_telephone_number": "509-879-6887",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Research Study",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.