Provider Demographics
NPI:1932476702
Name:ECLIPSE CLINICAL RESEARCH
Entity Type:Organization
Organization Name:ECLIPSE CLINICAL RESEARCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FELICE
Authorized Official - Middle Name:J
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-647-9926
Mailing Address - Street 1:1775 W SAINT MARYS RD
Mailing Address - Street 2:SUITE 211
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-2696
Mailing Address - Country:US
Mailing Address - Phone:520-647-9926
Mailing Address - Fax:520-647-2214
Practice Address - Street 1:1704 W ANKLAM RD
Practice Address - Street 2:SUITE 106
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-2656
Practice Address - Country:US
Practice Address - Phone:520-647-9926
Practice Address - Fax:520-647-2214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-22
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch