P Praxis·MD
● Active Type 2 · Organization

Clinical Research Prime

Clinic/Center·Idaho Falls, ID· NPI 1124560230 · Enumerated 2016 · 9 years on NPI
Clinical Research Prime is 1 of 1 clinic/center organizations in Idaho.
NPI age
9 years
Enumerated 2016-11-07
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Baker
President, Chief Research Officer
Last NPPES update
2016-11-07
Source: monthly bulk 2026-05

How this organization compares

Across 1 active clinic/center providers in Idaho.

NPI age
9 years
≈ at median (9 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2016 → 2026

2016-11Enumerated in NPPES
2016 2026

Where they practice

Primary practice location
187 E 13th St
Idaho Falls, ID 834045305
📞 2084970600
Mailing address
187 E 13th St
Idaho Falls, ID 834045305
📞 2084970600

Authorized official

Justin Baker, PHD
President, Chief Research Officer
📞 2084970600

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    ID license #M5835 taxonomy 261QR1100X

Practice context

Multi-provider organization. 3 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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