Provider Demographics
NPI:1447938782
Name:ST. JUDE CLINICAL RESEARCH, LLC
Entity type:Organization
Organization Name:ST. JUDE CLINICAL RESEARCH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:LINARES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-521-0290
Mailing Address - Street 1:10450 NW 33RD ST UNIT 409
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-1006
Mailing Address - Country:US
Mailing Address - Phone:305-507-2273
Mailing Address - Fax:
Practice Address - Street 1:10450 NW 33RD ST UNIT 409
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-1006
Practice Address - Country:US
Practice Address - Phone:305-507-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch