Organization Active NPI

Curequest Clinical, LLC

  • Research Study Specialist
  • Jacksonville, FL
National Provider Identifier
1881168433
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Study SpecialistTaxonomy code 1744R1102X
Legal business name
CUREQUEST CLINICAL, LLC
Practice address
3101 University Blvd S
Jacksonville, FL 32216-2790
Phone
(904) 553-1017
NPI assigned
Jan 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Authorized official

Name
Mr. Donald Scott Covington, MD
Title
Chief Medical Officer
Phone
(919) 417-1980

Specialties & licenses 1

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

Addresses

Primary practice location

3101 University Blvd S
Jacksonville, FL 32216-2790

Mailing address

3101 University Blvd S Ste 100
Jacksonville, FL 32216-2750
Phone (904) 553-1017

Other names 1

  • Comprehensive Wound Care Partners, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

3101 University Blvd S
Jacksonville, FL 32216
Phone (904) 553-1017

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1881168433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 UNIVERSITY BLVD S STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162750",
            "telephone_number": "904-553-1017",
            "fax_number": "904-328-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162790",
            "telephone_number": "904-553-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUREQUEST CLINICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "COVINGTON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "919-417-1980",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Research Study",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Wound Care Partners, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.