Southern Clinical Research, LLC

Primary specialty

Research Study SpecialistTaxonomy code 1744R1102X

Legal business name

SOUTHERN CLINICAL RESEARCH, LLC

Practice address

630 NW 33Rd Ave
Miami, FL 33125

Phone

(844) 312-1727

Fax

(941) 278-5577

NPI assigned

Nov 30, 2021

Organization subpart

No

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

Authorized official

Name

Dainerys Canizares

Title

Administrator

Phone

(844) 312-1727

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1720746431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 NW 33RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33125",
            "telephone_number": "844-312-1727",
            "fax_number": "941-278-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 NW 33RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33125",
            "telephone_number": "844-312-1727",
            "fax_number": "941-278-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CLINICAL RESEARCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "CANIZARES",
        "authorized_official_first_name": "DAINERYS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "844-312-1727"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Research Study",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Research Study Specialist in Miami, FL
• Providers in Miami, FL by specialty
• Research Study Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.