OrganizationActive
Clinical Research Prime
NPI 1124560230 · Research Clinic/Center · Idaho Falls, ID
Provider details
- NPI number
- 1124560230
- Entity type
- Organization
- Primary specialty
- Research Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Justin Baker, President, Chief Research Officer(208) 497-0600
- License
- M5835 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
187 E 13th St
Idaho Falls, ID 83404-5305
Phone: (208) 497-0600
Street-level locationGet directions
Mailing address
187 E 13th St
Idaho Falls, ID 83404-5305
Registry dates
- Enumerated
- 2016-11-07
- Last updated
- 2016-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.