Provider Demographics
NPI:1235948811
Name:CLINICAL TRIALS OF TAMPA LLC
Entity type:Organization
Organization Name:CLINICAL TRIALS OF TAMPA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SITE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:DE REGLA
Authorized Official - Last Name:MEDINA NUNEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:813-512-6164
Mailing Address - Street 1:3430 W LAMBRIGHT ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-4750
Mailing Address - Country:US
Mailing Address - Phone:813-512-6164
Mailing Address - Fax:813-872-7207
Practice Address - Street 1:3430 W LAMBRIGHT ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-4750
Practice Address - Country:US
Practice Address - Phone:813-512-6164
Practice Address - Fax:813-872-7207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-07
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744R1102XOther Service ProvidersSpecialistResearch StudyGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical Laboratory