SIOUXLAND DIAGNOSTIC LAB SERVICES LLC (NPI# 1710302575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710302575 |
| Entity Type | Organization |
| Organization Name | SIOUXLAND DIAGNOSTIC LAB SERVICES LLC |
| Practice Address |
825 N 90th St Suite 500 Omaha NE 68114-2702 |
| Practice Telephone | 4023912005 |
| Practice Fax Number | 4023911302 |
| Mailing Telephone | 4023912005 |
| Mailing Fax Number | 4023911302 |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |
| Authorized Official Name | DIONNE M FINKEN (OFFICE MANAGER) |
| Authorized Official Telephone | 4023912005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
825 N 90TH ST SUITE 500 |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285621888 | Kimberly Sue Craig | Nurse Practitioner | 825 N 90th St, Omaha, NE 68114-2702 | 2005-09-29 |
| 1063039444 | Christen Renee Mccauley | Pharmacist | 825 N 90th St, Omaha, NE 68114-2702 | 2020-07-01 |
| 1588201875 | Andrea Lynn Plum | Nurse Practitioner | 825 N 90th St, Omaha, NE 68114-2702 | 2019-12-05 |
| 1558924589 | Charles Thurston Tomlinson | Pharmacist | 825 N 90th St, Omaha, NE 68114-2702 | 2019-04-16 |
| 1225562473 | Stephanie Marie Simon | Nurse Practitioner | 825 N 90th St, Omaha, NE 68114-2702 | 2017-04-14 |
| 1366809923 | Kelly Hoover | Physician Assistant | 825 N 90th St, Omaha, NE 68114-2702 | 2016-01-26 |
| 1033506415 | Ashley J. Homan | Registered Nurse | 825 N 90th St, Omaha, NE 68114-2702 | 2015-04-23 |
| 1265863880 | Gac, Inc. | Pharmacy | 825 N 90th St, Omaha, NE 68114 | 2013-12-07 |
| 1518208024 | Great Plains Diagnostics, LLC | Clinical Medical Laboratory | 825 N 90th St, Suite 500, Omaha, NE 68114-2702 | 2013-03-07 |
| 1619236213 | Rafal Krejza | Anesthesiology | 825 N 90th St, Omaha, NE 68114-2702 | 2012-05-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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.