Empire Clinical Research, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

EMPIRE CLINICAL RESEARCH, LLC

Practice address

8181 NW 154TH St
Suite 290
Miami Lakes, FL 33016-5881

Phone

(786) 464-0012

Fax

(786) 431-5355

NPI assigned

Nov 15, 2014

Last updated

Nov 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raudel La O

Title

President/Owner

Phone

(786) 464-0012

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1416009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416009600000",
    "number": "1952707168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 NW 154TH ST",
            "address_2": "SUITE 290",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165881",
            "telephone_number": "786-464-0012",
            "fax_number": "786-431-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 NW 154TH ST",
            "address_2": "SUITE 290",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165881",
            "telephone_number": "786-464-0012",
            "fax_number": "786-431-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE CLINICAL RESEARCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-15",
        "last_updated": "2014-11-15",
        "status": "A",
        "authorized_official_last_name": "LA O",
        "authorized_official_first_name": "RAUDEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "786-464-0012"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ernesto Enrique, ARNP, AGNP-BC
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• Multi-Specialty Clinic/Center in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2014; 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.