PHYSICIANS LABORATORY SERVICES, INC (NPI# 1396833026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396833026 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS LABORATORY SERVICES, INC |
| Practice Address |
4840 F St Omaha NE 68117-1407 |
| Practice Telephone | 4027314145 |
| Practice Fax Number | 4027318653 |
| Mailing Telephone | 4027314145 |
| Mailing Fax Number | 4027318653 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BLAINE Y ROFFMAN (PRESIDENT) |
| Authorized Official Telephone | 4027314145 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | NE | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHYSICIANS LABORATORY SERVICES, INC. | 4840 F St, Omaha, NE 68117-1407 |
| Iowa Business Entities | PHYSICIANS LABORATORY SERVICES, INC. | 4840 F St, Omaha, NE 68117 |
| Street Address |
4840 F ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68117-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972583102 | Edward Paul Laine | Pathology | 4840 F St, Omaha, NE 68117 | 2006-01-23 |
| 1104137512 | Joslin Marie Carson | Pathology | 4840 F St, Omaha, NE 68117-1407 | 2010-06-30 |
| 1598910184 | Erin Marie Linde | Pathology | 4840 F St, Omaha, NE 68117-1407 | 2008-11-24 |
| 1215078910 | Robert Earl Bowen | Pathology | 4840 F St, Omaha, NE 68117-1407 | 2007-02-08 |
| 1437226826 | Dwight James Bollinger | Pathology | 4840 F St, Omaha, NE 68117-1407 | 2006-11-29 |
| 1851478168 | Wayne Robert Markus | Pathology | 4840 F St, Omaha, NE 68117-1407 | 2006-11-01 |
| 1205913126 | David John Jaskierny Jr. | Pathology | 4840 F St, Omaha, NE 68117-1407 | 2006-11-01 |
| 1306929617 | Physicians Laboratory, PC | Clinical Medical Laboratory | 4840 F St, Omaha, NE 68117-1407 | 2006-10-23 |
| 1720168792 | Christine A Webster | Pathology | 4840 F St, Omaha, NE 68117-1407 | 2006-10-16 |
| 1255398046 | Michelle P Elieff | Pathology | 4840 F St, Omaha, NE 68117-1407 | 2006-04-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093869208 | Ricky Lee Eppenbaugh | Counselor | 5115 F St., Omaha, NE 68117 | 2007-01-23 |
| 1538210232 | Mark Edward Ward | Counselor | 5115 F St, Omaha, NE 68117 | 2007-01-16 |
| 1265591325 | Heartland Family Service | Clinic/Center | 7110 F Street, Omaha, NE 68117 | 2006-12-06 |
| 1396814182 | Parra Family Dentistry PC | Dentist | 5050 L Street, Omaha, NE 68117 | 2006-11-07 |
| 1104888775 | Richard G Runge | Pathology | 4955 F Street, Omaha, NE 68117 | 2006-04-06 |
| 1114914314 | Kci Usa, Inc. | Durable Medical Equipment & Medical Supplies | 5362 F St, Omaha, NE 68117 | 2005-10-03 |
| 1306838461 | Barbara Anne Anderson | Counselor | 7110 F St, Heartland Family Service, Omaha, NE 68117 | 2005-08-16 |
| 1861931735 | Daniel James Wynn I | Counselor | 5115 F Street, Omaha, NE 68117 | 2017-02-13 |
| 1497201743 | Nicholas Pojar | Counselor | 5115 F Street, Omaha, NE 68117 | 2016-08-28 |
| 1134511801 | Lacey Callaway | Social Worker | 5115 F Street, Omaha, NE 68117 | 2015-03-04 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
| 1083214852 | Kamdino, Inc. | Clinical Medical Laboratory | 310 Regency Pkwy Ste 110, Omaha, NE 68114-3725 | 2020-10-29 |
| 1598055022 | Regional West Medical Center | Clinical Medical Laboratory | 17030 Lakeside Hills Plz Ste 104, Omaha, NE 68130-2396 | 2011-04-18 |
| 1659588705 | Rtg Medical | Clinical Medical Laboratory | 3028 Paddock Road, Apartment 113a, Omaha, NE 68124 | 2007-05-17 |
| 1760527683 | Creighton University | Clinical Medical Laboratory | 651 N 27th St, Criss II, Omaha, NE 68178-0023 | 2007-02-20 |
| 1548316300 | Toxicology Laboratories Incorporated | Clinical Medical Laboratory | 4472 South 84th Street, Omaha, NE 68127 | 2007-01-26 |
| 1447329941 | Dartmed | Clinical Medical Laboratory | 16707 Q St, Suite 2c, Omaha, NE 68135-1258 | 2006-11-07 |
| 1003417866 | Nebraska Medical Center | Clinical Medical Laboratory | 4400 Emile St, Omaha, NE 68198-0600 | 2020-11-06 |
| 1487251120 | The Nebraska Methodist Hospital | Clinical Medical Laboratory | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-10-06 |
| 1871106278 | Gs Labs | Clinical Medical Laboratory | 17650 Wright St Ste 5, Omaha, NE 68130-2800 | 2020-08-25 |
| 1871070045 | Limitless Laboratory, LLC | Clinical Medical Laboratory | 2255 S 132nd St Ste 100, Omaha, NE 68144-2573 | 2018-07-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.