Provider Demographics
NPI:1356721047
Name:LOTUS CLINICAL RESEARCH LLC
Entity type:Organization
Organization Name:LOTUS CLINICAL RESEARCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:K
Authorized Official - Last Name:SINGLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-397-3507
Mailing Address - Street 1:100 W CALIFORNIA BLVD
Mailing Address - Street 2:UNIT 25
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-3010
Mailing Address - Country:US
Mailing Address - Phone:626-397-2392
Mailing Address - Fax:626-628-3601
Practice Address - Street 1:100 W CALIFORNIA BLVD
Practice Address - Street 2:UNIT 25
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3010
Practice Address - Country:US
Practice Address - Phone:626-397-2392
Practice Address - Fax:626-628-3601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch