Provider Demographics
NPI:1225085913
Name:PATIENT FIRST TESTING
Entity Type:Organization
Organization Name:PATIENT FIRST TESTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-753-0070
Mailing Address - Street 1:322 W COUNTY ROAD T
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-7882
Mailing Address - Country:US
Mailing Address - Phone:402-753-0070
Mailing Address - Fax:402-753-0060
Practice Address - Street 1:322 W COUNTY ROAD T
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-7882
Practice Address - Country:US
Practice Address - Phone:402-753-0070
Practice Address - Fax:402-753-0060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE099506Medicare PIN