TRI-STATE CLINICAL RESEARCH TRIALS, LLC (NPI# 1447726807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447726807 |
| Entity Type | Organization |
| Organization Name | TRI-STATE CLINICAL RESEARCH TRIALS, LLC |
| Practice Address |
1303 Veterans Hwy Bristol PA 19007-2514 |
| Practice Telephone | 2154587114 |
| Practice Fax Number | 2154587994 |
| Mailing Telephone | 2154587114 |
| Mailing Fax Number | 2154587994 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |
| Authorized Official Name | DR. BERNARD OGON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7739832866 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1100X |
Clinic/Center Specialization: Research |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1028959680001 | 05 |
| Other Name | Type Code |
|---|---|
| Tri-State Clinical Research Trials | Doing Business As Name - Organization |
| Street Address |
1303 VETERANS HWY |
| City | BRISTOL |
| State | PA |
| Zip Code | 19007-2514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518004506 | Jon H Bryman | Chiropractor | 1303 Veterans Hwy, Bristol, PA 19007-2514 | 2007-01-31 |
| 1255509873 | Bernard Okem Ogon | Family Medicine | 1303 Veterans Hwy, Bristol, PA 19007-2514 | 2008-02-16 |
| 1891981429 | Bryman Family Chiropractic | Chiropractor | 1303 Veterans Hwy, Bristol, PA 19007-2514 | 2007-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222952 | Lynn Nicole Ackert | Counselor | 499 Bath Road, Bristol, PA 19007 | 2020-10-14 |
| 1881219863 | Eahab Abdul-lattif | Internal Medicine | 500 Bath Road, Bristol, PA 19007 | 2020-06-15 |
| 1811494248 | Lower Bucks Physician Associates, PC | Pathology | 1 Bath Road, Bristol, PA 19007 | 2018-04-11 |
| 1235658147 | Leah Elizabeth Cohen | Social Worker | 100 Green Ln Ste 2, Bristol, PA 19007 | 2017-09-12 |
| 1922524842 | Genevieve Rongione | Occupational Therapist | Nova Care 100 Green Lane, Bristol, PA 19007 | 2017-08-22 |
| 1609263516 | Katrina Shchupak | Psychiatry & Neurology | 499 Bath Rd, Bristol, PA 19007 | 2015-04-17 |
| 1639504426 | Scott W Pfaff | Physical Therapist | 220 Commerce Circle, Bristol, PA 19007 | 2013-09-11 |
| 1861739997 | Conscu Inc | Ambulance | 2720 Bartam Rd, Suite 7, Bristol, PA 19007 | 2013-01-09 |
| 1417214537 | Leonard Davidson | Family Medicine | 202 Jefferson Ave, Bristol, PA 19007 | 2012-04-13 |
| 1831472067 | Timothy Michael Leicht | Physician Assistant | 335 Radcliffe St., Physician Assistant Surgical Associates, LLC, Bristol, PA 19007 | 2011-09-23 |
| Find all providers in zip 19007 | ||||
| Taxonomy Code | 261QR1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Research |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497139166 | Clinical Research Associates of Central Pa, LLC | Clinic/Center | 1616 E Pleasant Valley Blvd, Altoona, PA 16602-7308 | 2015-07-13 |
| 1295156958 | University of Pittsburgh Medical Center | Clinic/Center | 5115 Centre Avenue, Ag70.15 Prevention and Early Detection Suite, Pittsburgh, PA 15232-1940 | 2013-12-26 |
| 1760736870 | Lecom Mtm Services | Clinic/Center | 1858 W Grandview Blvd, Attn.rebecca Wise-bayfront Campus, Erie, PA 16509-1025 | 2012-10-29 |
| 1457636037 | Lll-usa Integrated Health Care Association | Clinic/Center | 2010 W Chester Pike, Suite 407, Havertown, PA 19083-2700 | 2011-10-14 |
Please comment or provide details below to improve the information on TRI-STATE CLINICAL RESEARCH TRIALS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.