Provider Demographics
NPI:1871957092
Name:FIRST STEP HOME SLEEP TESTING INC.
Entity type:Organization
Organization Name:FIRST STEP HOME SLEEP TESTING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:OLEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:FRAHM
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:217-253-3333
Mailing Address - Street 1:610 N COUNTY ROAD 475 E
Mailing Address - Street 2:
Mailing Address - City:TUSCOLA
Mailing Address - State:IL
Mailing Address - Zip Code:61953-7540
Mailing Address - Country:US
Mailing Address - Phone:217-253-3333
Mailing Address - Fax:217-253-2221
Practice Address - Street 1:704 N MAIN ST
Practice Address - Street 2:
Practice Address - City:TUSCOLA
Practice Address - State:IL
Practice Address - Zip Code:61953-1000
Practice Address - Country:US
Practice Address - Phone:217-253-3333
Practice Address - Fax:217-253-2221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-13
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic