Healthcare Provider Details

I. General information

NPI: 1225085913
Provider Name (Legal Business Name): PATIENT FIRST TESTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 09/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 W COUNTY ROAD T
FREMONT NE
68025-7882
US

IV. Provider business mailing address

322 W COUNTY ROAD T
FREMONT NE
68025-7882
US

V. Phone/Fax

Practice location:
  • Phone: 402-753-0070
  • Fax: 402-753-0060
Mailing address:
  • Phone: 402-753-0070
  • Fax: 402-753-0060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN FREDERICK MORRIS
Title or Position: PRESIDENT
Credential:
Phone: 402-753-0070