Translational Medicine Clinic & Research Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TRANSLATIONAL MEDICINE CLINIC & RESEARCH CENTER

Practice address

1768 Storrs Rd
Suite a
Storrs, CT 06268-1260

Phone

(860) 477-0961

NPI assigned

Dec 18, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ricky Wayne McCullough, MD

Title

President

Phone

(860) 477-0961

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1407211303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MOOSUP VALLEY RD",
            "city": "FOSTER",
            "state": "RI",
            "postal_code": "028251236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 STORRS RD",
            "address_2": "SUITE A",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062681260",
            "telephone_number": "860-477-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSLATIONAL MEDICINE CLINIC & RESEARCH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-477-0961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Storrs, CT
• Providers in Storrs, CT by specialty
• Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.