Provider Demographics
NPI:1235601006
Name:COMMUNITY FIRST LLC
Entity Type:Organization
Organization Name:COMMUNITY FIRST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TERENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-984-4229
Mailing Address - Street 1:10789 DOUBLE R BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-9010
Mailing Address - Country:US
Mailing Address - Phone:775-984-4229
Mailing Address - Fax:775-201-0739
Practice Address - Street 1:10789 DOUBLE R BLVD STE 102
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-9010
Practice Address - Country:US
Practice Address - Phone:775-984-4229
Practice Address - Fax:775-201-0739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-18
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory