Organization Active NPI

Nebraska Medical Center

  • Clinical Medical Laboratory
  • Omaha, NE
National Provider Identifier
1003417866
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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 CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory
Tax ID family
Clarkson Primary Care16 organizations share this tax ID, including this one
Part of
Clarkson Primary Care

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

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.

Verify at the official NPI Registry.