Advanced Testing Services | |
6028 S Ridgeline Dr Ste 203 Ogden UT 84405-6911 | |
(801) 917-8410 | |
(801) 752-7164 |
Full Name | Advanced Testing Services |
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Speciality | Clinic/Center |
Location | 6028 S Ridgeline Dr Ste 203, Ogden, Utah |
Authorized Official Name and Position | Matthew Lowe (MANAGER) |
Authorized Official Contact | 8016488229 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Advanced Testing Services 6028 S Ridgeline Dr Ste 203 Ogden UT 84405-6911 Ph: (801) 917-8410 | Advanced Testing Services 6028 S Ridgeline Dr Ste 203 Ogden UT 84405-6911 Ph: (801) 917-8410 |
NPI Number | 1740883586 |
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Provider Enumeration Date | 11/16/2020 |
Last Update Date | 01/11/2021 |
Medicare PECOS PAC ID | 5193132058 |
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Medicare Enrollment ID | O20210322001895 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740883586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | John E Lowe |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1851387195 PECOS PAC ID: 9830082593 Enrollment ID: I20040621001269 |
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