Organization Active NPI

Northeast Nebraska Imaging Center, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Norfolk, NE
National Provider Identifier
1457571663
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
NORTHEAST NEBRASKA IMAGING CENTER, LLC
Practice address
301 N 27TH St
Suite 15
Norfolk, NE 68701-4457
Phone
(402) 844-8187
Fax
(402) 844-8188
NPI assigned
Apr 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Paula Jean Belden
Title
Contracting Specialists
Phone
(719) 296-5840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

301 N 27TH St
Suite 15
Norfolk, NE 68701-4457

Mailing address

301 N 27TH St
Suite 15
Norfolk, NE 68701-4457
Phone (402) 844-8187

Other identifiers 2

IdentifierTypeStateIssuer
34402OtherNEBCBS
10025509400MedicaidNE

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

301 N 27th St
Ste 15
Norfolk, NE 68701
Phone (402) 844-8187

301 N 27th St
#15
Norfolk, NE 68701
Phone (402) 844-8187

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1457571663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 27TH ST",
            "address_2": "SUITE 15",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014457",
            "telephone_number": "402-844-8187",
            "fax_number": "402-844-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 27TH ST",
            "address_2": "SUITE 15",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014457",
            "telephone_number": "402-844-8187",
            "fax_number": "402-844-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST NEBRASKA IMAGING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "BELDEN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CONTRACTING SPECIALISTS",
        "authorized_official_telephone_number": "719-296-5840"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "34402",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025509400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.