Provider Demographics
NPI:1508139700
Name:CLINICAL RESEARCH ADVANTAGE, INC.
Entity Type:Organization
Organization Name:CLINICAL RESEARCH ADVANTAGE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:VESELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-305-5707
Mailing Address - Street 1:2141 EAST BROADWAY ROAD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282
Mailing Address - Country:US
Mailing Address - Phone:480-820-5656
Mailing Address - Fax:480-820-5521
Practice Address - Street 1:2141 EAST BROADWAY ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282
Practice Address - Country:US
Practice Address - Phone:480-820-5656
Practice Address - Fax:480-820-5521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-17
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch