Organization Active NPI

The Test Warehouse

  • Clinical Medical Laboratory
  • Fairfield, IA
National Provider Identifier
1891383394
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
THE TEST WAREHOUSE
Practice address
102 S 6TH St
Fairfield, IA 52556-3334
Phone
(641) 919-8347
NPI assigned
Jan 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jonathan M CohenNPI 1013660224
Title
Ceo
Phone
(641) 919-8347

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

102 S 6TH St
Fairfield, IA 52556-3334

Mailing address

54 1/2 N Main St
Fairfield, IA 52556-3205
Phone (641) 919-8347

Other identifiers 1

IdentifierTypeStateIssuer
16D2211249OtherCDC

National Provider Directory

National Provider Directory

Locations

102 S 6th St
Fairfield, IA 52556
Phone (323) 366-3717

54 N Main St
Fairfield, IA 52556

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1891383394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 1/2 N MAIN ST",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563205",
            "telephone_number": "641-919-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S 6TH ST",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563334",
            "telephone_number": "641-919-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TEST WAREHOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-09",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "641-919-8347"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDC",
            "identifier": "16D2211249",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.