North Carolina is home to a significant concentration of professional services firms, predominantly mid-sized to large enterprises. These companies span various sectors, with a strong emphasis on biotechnology research, pharmaceutical manufacturing, and broader clinical development services. Many firms provide specialized support for the life sciences industry, indicating a key regional focus.
Key players include Compass Group USA, which offers food and facility services, and Syneos Health, a biopharmaceutical solutions organization. Parexel provides comprehensive clinical development services, while Kimley-Horn specializes in planning and design consulting. RTI International is an independent scientific research institute, and Cherry Bekaert is a specialized CPA firm.
| # | Company | Employees | |||
|---|---|---|---|---|---|
| 1 |
Compass Group USAcompassgroupcareers.com
Redefines food and facility services, delivering excellence to healthcare, education, cultural centers, sports venues, and corporations. Recognized for innovation, diversity, and trustworthiness. |
68,303 | |||
| 2 |
Syneos Healthsyneoshealth.com
A leading biopharmaceutical solutions organization driving customer success by translating clinical, medical, and commercial insights into outcomes worldwide Promoting inclusivity and sustainability |
23,569 | |||
| 3 |
Parexelparexel.com
Provides comprehensive clinical development services globally, from early to late phase trials, helping new treatments reach patients faster through expertise and innovation. |
21,982 | |||
| 4 |
Fortreafortrea.com
A global provider of clinical development and patient access solutions, specializing in accelerating life-changing therapies to patients through innovative trial management services |
11,430 | |||
| 5 |
Kimley-Hornkimley-horn.com
providing comprehensive planning and design consulting services across multiple disciplines with a client-focused approach and recognized workplace quality |
10,392 | |||
| 6 |
RTI Internationalrti.org
Independent scientific research institute providing technical, social, statistical, and engineering expertise to solve critical global challenges and improve human conditions. |
6,607 | |||
| 7 |
Worldwide Clinical Trialsworldwide.com
A global CRO working with biotech and pharma companies to advance new treatments through clinical trials, bioanalytical services, and evidence studies |
4,181 | |||
| 8 |
SPAR Groupsparinc.com
A global merchandising and marketing services company with expertise in retail and manufacturer support, offering specialized capabilities across multiple countries |
3,852 | |||
| 9 |
Cherry Bekaertcbh.com
Specialized CPA firm providing tax, audit, assurance, digital consulting, M&A advisory, business valuations, and strategic tax planning services. |
3,311 | |||
| 10 |
Premier Researchpremier-research.com
Global clinical research and consulting services specializing in biotech, accelerating drug development, overcoming trial challenges, and delivering personalized end-to-end solutions. |
2,858 | |||
| 11 |
ProPharmapropharmagroup.com
Regulatory, clinical research, compliance, and pharmacovigilance services for pharmaceutical and biotech industries to accelerate therapy development through an advise-build-operate consulting model. |
2,246 | |||
| 12 |
Womble Bond Dickinson (US) LLPwomblebonddickinson.com
Transatlantic law firm offering a wide range of legal services with a focus on key sectors, operating in 32 UK and US office locations |
1,995 | |||
| 13 |
SPECTRAFORCEspectraforce.com
A rapidly growing staffing firm offering AI-powered talent acquisition services across various sectors, celebrating career transformations and recognized for exceptional client service |
1,943 | |||
| 14 |
CAPTRUSTcaptrust.com
Specializing in financial advisory services for retirement plans, endowments, institutional investors, executives, and high-net-worth individuals to build strong financial foundations |
1,889 | |||
| 15 |
Planet Pharmaplanet-pharma.com
Specializing in supporting the Life Sciences industry, we connect clients with talent through personalized staffing solutions in multiple locations worldwide |
1,812 | |||
| 16 |
KBI Biopharmakbibiopharma.com
Provides fully-integrated, accelerated drug development and biomanufacturing services to pharmaceutical and biotechnology companies globally with world-class analytical capabilities. |
1,694 | |||
| 17 |
Syneos Health Clinical Solutionssyneoshealth.com
A leading biopharmaceutical solutions organization accelerating customer success by translating insights into outcomes and delivering important therapies worldwide |
1,569 | |||
| 18 |
Alpine Intelalpineintel.com
Providing expert, specialized investigations and high-quality solutions across property, auto, liability, and workers comp insurance nationwide. |
1,482 | |||
| 19 | 1,437 | ||||
| 20 |
Emergysemergys.com
Empowers businesses to align IT strategies with long-term objectives through comprehensive solutions in enterprise, AI, data, and modern applications, driving innovation and growth. |
1,413 | |||
| 21 |
Allied Universal庐 Compliance and Investigationsaus.com
A company specializing in insurance claim solutions, providing data for faster claims processing and investigating suspicious claims to control losses |
1,371 | |||
| 22 |
Allucentallucent.com
A global provider of drug development solutions for small and mid-sized biotech companies, offering consulting, clinical operations, and more |
1,355 | |||
| 23 |
S&MEsmeinc.com
With over 50 years of experience, we provide engineering, environmental services, and construction testing to solve complex challenges and create positive community impacts |
1,204 | |||
| 24 |
Measurement Incorporatedmeasurementinc.com
A leading provider of customized educational assessment services, offering performance assessment scoring, test development, and school improvement services nationwide |
1,193 | |||
| 25 |
Syneos Health Commercial Solutionssyneoshealth.com
A fully integrated biopharmaceutical solutions organization specializing in accelerating customer success by translating insights into outcomes for modern market realities |
1,064 | |||
Want more companies than this list?This page shows the largest ones only. Connect to Tamtam to see every company that matches, filter by size, industry or growth, and reach their decision-makers. | |||||
| 26 |
Celeros Flow Technologycelerosft.com
Design, installation, and support of flow technology equipment for industries including oil, gas, water, and chemical processing. |
1,018 | |||
| 27 |
Mining and Minerals Processing Jobs - Resource Erectorsresource-erectors.com
Specializing in connecting mining professionals with top North American companies for diverse roles, helping individuals advance and companies thrive |
1,004 | |||
| 28 |
INC Researchsyneoshealth.com
Syneos Health provides integrated solutions for biopharmaceutical companies, offering expertise, data, and insights to accelerate clinical and commercial success |
994 | |||
| 29 | 987 | ||||
| 30 |
The Select Groupselectgroup.com
Technology consulting firm providing cloud, cybersecurity, data, digital transformation, learning, and project management services across multiple industries. |
936 | |||
| 31 |
Syneos Health Communicationssyneoshealthcommunications.com
Leading healthcare network providing advertising, branding, public relations, and medical communications services to accelerate brand performance through integrated strategies and real-world market insights. |
915 | |||
| 32 |
Steritechsteritech.com
Leaders in assessments and consulting for multi-location businesses, focusing on operational consistency, growth acceleration, risk mitigation, and customer experience improvement |
898 | |||
| 33 |
FMIfmicorp.com
A leading consulting and investment banking firm specializing in engineering, construction, infrastructure, and the built environment for over 65 years |
884 | |||
| 34 |
Oil and Gas JobsOilPlanters.com
The company provides updates on oil and gas job opportunities, training, videos, articles, events, and resources for starting a career in the industry |
871 | |||
| 35 |
McKim & Creed, Inc.mckimcreed.com
Engineering and surveying firm using innovative tools to solve infrastructure challenges and improve lives through clean water, energy-efficient facilities, and sustainable communities |
866 | |||
| 36 |
Mercalismercalis.com
Integrated life sciences commercialization partner offering end-to-end solutions, data insights, patient services, and provider tools to help companies successfully launch new products |
859 | |||
| 37 |
Transportation Insighttransportationinsight.com
provides expert logistics solutions and technology for transportation planning, freight auditing, parcel optimization, and carrier procurement |
826 | |||
| 38 |
Baker PLLCbakerpllc.law
A real estate transaction firm that champions eClosings with cutting-edge technology, providing exceptional closing experiences, led by experienced attorney Jeffrey M Baker |
794 | |||
| 39 |
Moore & Van Allen PLLCmvalaw.com
Moore & Van Allen provides innovative legal solutions and strategic guidance to a diverse clientele, focusing on collaboration and long-term success |
769 | |||
| 40 |
TEPtepgroup.net
Specializing in engineering and construction services for telecommunication towers worldwide, providing a range of in-house services and offices across the US and Canada |
767 | |||
| 41 |
inVentiv Health Clinicalsyneoshealth.com
Integrated clinical and commercial solutions company dedicated to accelerating biopharmaceutical processes through expertise, data, and insights for global clients |
757 | |||
| 42 |
Veranexveranex.com
Global innovation contract research organization, providing integrated product development and contract research services for medical devices and in-vitro diagnostics. |
720 | |||
| 43 |
CRGgetcrg.com
Global provider of executive and professional search, direct hire and contract staffing, talent optimization consulting, and IT solutions with extensive experience and successful track record |
717 | |||
| 44 |
Infocenterinfocenter.io
Global Elite partner specializing in ServiceNow solutions for Healthcare, Financial Services, Manufacturing, Telecom/Technology/Business Services Award-winning team driving digital transformation worldwide |
702 | |||
| 45 |
HardHat Workforce Solutionscallhardhat.com
HardHat Workforce Solutions offers tailored construction staffing solutions, prioritizing client needs and supporting skilled tradespeople's career growth in the industry |
633 | |||
| 46 |
Brock & Scott, PLLCbrockandscott.com
A full-service law firm specializing in serving the financial sector across a 20-state footprint, offering legal services with integrity and efficiency |
619 | |||
| 47 |
DynPro Inc.dynpro.com
Provides global technology consulting and systems integration, specializing in digital transformation, data modernization, AI, and enterprise platforms for various industries. |
611 | |||
| 48 |
Parker Poe Adams & Bernstein LLPparkerpoe.com
A well-established law firm with over 100 years of experience serving clients in various industries with offices across the Southeast |
609 | |||
| 49 |
Dixon Hughes Goodman LLPdhg.com
A top professional services firm offering assurance, tax, and advisory services globally, integrating technical knowledge, industry intelligence, and a future-focused approach |
607 | |||
| 50 |
Chilternfortrea.com
A company specializing in tailored clinical trial solutions for biotech ventures, offering expanded services and a personalized experience for clients |
585 | |||
Turn this list into pipeline
Tamtam finds the decision-makers at every company on a list like this one, with verified emails, phone numbers and the buying signals that tell you when to reach out.
How this list is built
Every company on this list has a Tamtam company profile. The industry is the one the company gives on LinkedIn; categories such as SaaS or fintech are classified by Tamtam's AI from the company's website and LinkedIn page; and the headquarters city must match the company's own address. Companies are ranked by the number of employees on LinkedIn, and the list is refreshed every night. Classifications can be wrong, so treat the list as a starting point rather than an official ranking. Last updated Nov 11, 2026.
More company lists in North Carolina
- The largest companies in North Carolina 2,409
- Multinational companies in North Carolina 358
- Manufacturers in North Carolina 271
- Retail chains in North Carolina 221
- Education providers in North Carolina 207
- Critical infrastructure operators in North Carolina 171
- Companies with in-house R&D in North Carolina 158
- Hospitals and Health Care companies in North Carolina 157
- Healthcare providers in North Carolina 153
- Financial services firms in North Carolina 143
- Public sector organisations in North Carolina 139
- Hardware manufacturers in North Carolina 129
- IT Services and IT Consulting companies in North Carolina 120
- Higher Education companies in North Carolina 118
- SaaS companies in North Carolina 108
- Software Development companies in North Carolina 105
- Companies with a mobile app in North Carolina 96
- IT services companies in North Carolina 96
- Publicly traded companies in North Carolina 91
- Construction companies in North Carolina 87
- Consulting firms in North Carolina 85
- Financial Services companies in North Carolina 82
- Family-owned companies in North Carolina 80
- Real Estate companies in North Carolina 79
The same list elsewhere in United States
- Professional services firms in the United States 7,078
- Professional services firms in New York State 955
- Professional services firms in California 880
- Professional services firms in Texas 629
- Professional services firms in Florida 375
- Professional services firms in Virginia 344
- Professional services firms in Illinois 339
- Professional services firms in Massachusetts 249
- Professional services firms in New Jersey 249
- Professional services firms in Georgia 246
- Professional services firms in Pennsylvania 245
- Professional services firms in Ohio 195
- Professional services firms in Maryland 176
- Professional services firms in Michigan 172
- Professional services firms in Washington State 163
- Professional services firms in Alabama 135
- Professional services firms in Minnesota 125
- Professional services firms in New York 735
- Professional services firms in Chicago 196
- Professional services firms in Houston 156
- Professional services firms in Atlanta 143
- Professional services firms in San Francisco 130
- Professional services firms in Washington 109
- Professional services firms in Los Angeles 108