Healthcare Provider Details

I. General information

NPI: 1477820363
Provider Name (Legal Business Name): RENO CLINICAL TRIALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2011
Last Update Date: 11/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3160 N TRUCKEE LN
SPARKS NV
89434-1583
US

IV. Provider business mailing address

3160 N TRUCKEE LN
SPARKS NV
89434-1583
US

V. Phone/Fax

Practice location:
  • Phone: 775-345-3477
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License NumberE4182
License Number StateCA

VIII. Authorized Official

Name: MICHELLE ALEX
Title or Position: PRESIDENT
Credential: DPM
Phone: 775-345-3477