TRI-STATE CLINICAL RESEARCH TRIALS, LLC; NPI #1447726807

Contact Information

TRI-STATE CLINICAL RESEARCH TRIALS, LLC

1303 VETERANS HWY
BRISTOL, PA 19007-2514

Phone: 215-458-7114
Fax: 215-458-7994
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Research	261QR1100X

Indicates primary specialty

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NPI Profile & details for TRI-STATE CLINICAL RESEARCH TRIALS, LLC

NPI Number 1447726807

LBN Legal business name TRI-STATE CLINICAL RESEARCH TRIALS, LLC

Authorized official BERNARD OGON - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/23/2018

Last updated 10/23/2018 - About 8 years ago

Identifiers

Medicaid

1028959680001

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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