Provider Demographics
NPI:1134497514
Name:ELITE CLINICAL STUDIES, LLC
Entity type:Organization
Organization Name:ELITE CLINICAL STUDIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:SAINE
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:602-788-3437
Mailing Address - Street 1:4520 E. INDIAN SCHOOL RD #1
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018
Mailing Address - Country:US
Mailing Address - Phone:602-788-3437
Mailing Address - Fax:602-840-4868
Practice Address - Street 1:4520 E INDIAN SCHOOL RD STE 1
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-5434
Practice Address - Country:US
Practice Address - Phone:602-788-3437
Practice Address - Fax:602-840-4868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch