Active NPI
Nebraska Medical Center
- Clinical Medical Laboratory
- Omaha, NE
National Provider Identifier
1003417866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- NEBRASKA MEDICAL CENTER
- Practice address
- 4400 Emile St
Omaha, NE 68198-0600 - Phone
- (402) 552-2000
- NPI assigned
- Nov 6, 2020
- Organization subpart
- Yes
- Parent organization
- NEBRASKA MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Daubert
- Title
- Cfo
- Phone
- (402) 552-2889
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
4400 Emile St
Omaha, NE 68198-0600
Mailing address
987400 Nebraska Medical Ctr
Omaha, NE 68198-7400
Phone (402) 552-2040
Other names 1
- Nebraska Medical Center - Regional Lab
National Provider Directory
National Provider Directory- Tax ID family
- Clarkson Primary Care
- Part of
- Clarkson Primary Care
Other organizations with this tax ID 15
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604620800000",
"number": "1003417866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "987400 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681987400",
"telephone_number": "402-552-2040",
"fax_number": "402-552-2512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 EMILE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681980600",
"telephone_number": "402-552-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEBRASKA MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEBRASKA MEDICAL CENTER",
"enumeration_date": "2020-11-06",
"last_updated": "2020-11-06",
"certification_date": "2020-10-21",
"status": "A",
"authorized_official_last_name": "DAUBERT",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "402-552-2889"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nebraska Medical Center - Regional Lab",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.