Healthcare Provider Details

I. General information

NPI: 1376976035
Provider Name (Legal Business Name): CIMA MEDICAL RESEARCH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2013
Last Update Date: 08/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 S RAINBOW BLVD SUITE 101
LAS VEGAS NV
89146-9066
US

IV. Provider business mailing address

1321 S RAINBOW BLVD SUITE 101
LAS VEGAS NV
89146-9066
US

V. Phone/Fax

Practice location:
  • Phone: 702-476-1515
  • Fax: 702-476-2035
Mailing address:
  • Phone: 702-476-1515
  • Fax: 702-476-2035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number StateNV

VIII. Authorized Official

Name: MARIA TERESA CARANDANG
Title or Position: COO
Credential:
Phone: 702-476-1515