Provider Demographics
NPI:1063878205
Name:FIRSTSCAN LLC
Entity type:Organization
Organization Name:FIRSTSCAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MANION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-934-1999
Mailing Address - Street 1:9840 S 140TH ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68138-3693
Mailing Address - Country:US
Mailing Address - Phone:402-934-1999
Mailing Address - Fax:402-905-9561
Practice Address - Street 1:9840 S 140TH ST
Practice Address - Street 2:SUITE 5
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68138-3693
Practice Address - Country:US
Practice Address - Phone:402-934-1999
Practice Address - Fax:402-905-9561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-04
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology