Provider Demographics
NPI:1962002816
Name:CHOICE CLINICAL RESEARCH
Entity Type:Organization
Organization Name:CHOICE CLINICAL RESEARCH
Other - Org Name:CHOICE HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF CLINICAL OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGANO
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:513-671-0500
Mailing Address - Street 1:140 W KEMPER RD STE B
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-2530
Mailing Address - Country:US
Mailing Address - Phone:513-671-0500
Mailing Address - Fax:
Practice Address - Street 1:140 W KEMPER RD STE B
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-2530
Practice Address - Country:US
Practice Address - Phone:513-671-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-29
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center