Advanced Medical Imaging Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ADVANCED MEDICAL IMAGING SURGERY CENTER, LLC

Practice address

7555 Pioneers Blvd
Lincoln, NE 68506

Phone

(402) 484-6677

Fax

(402) 484-4476

NPI assigned

Oct 24, 2018

Last updated

Apr 2, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rahul S Razdan, M.D.NPI 1154565745

Title

President

Phone

(402) 484-6677

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609343052. Details of each certification follow.

• CCN 280140 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 280140

Legal name

ADVANCED MEDICAL IMAGING SURGERY CENTER

Certification status

Terminated Other: provider status change, May 16, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Oct 16, 2020

Last certification

Oct 16, 2020

Beds

1

Ownership / control type

Private (for profit)

Facility address

7555 Pioneers Blvd
Lincoln, NE 68506

Listed as

Advanced Medical Imaging Surgery CenterCCN 28C0001066

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• Cardiovascular Clinic of Nebraska

  dba Pioneer Heart Institute

  • Cardiovascular Disease Physician
  • Lincoln, NE
  • NPI 1346731759

  Member Of

  NPD member

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rahul S Razdan, M.D.

  • Vascular & Interventional Radiology Physician
  • Lincoln, NE
  • NPI 1154565745
  Authorized official Same address or phone
• Harpaul Bajwa, MD

  • Interventional Cardiology Physician
  • Lincoln, NE
  • NPI 1972523983
  NPD (past)
• Eric A Vander Woude, MD

  • Vascular & Interventional Radiology Physician
  • Lincoln, NE
  • NPI 1750508883
  NPD (past)

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1609343052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 PIONEERS BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685064675",
            "telephone_number": "402-484-6677",
            "fax_number": "402-484-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 PIONEERS BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68506",
            "telephone_number": "402-484-6677",
            "fax_number": "402-484-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL IMAGING SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "RAZDAN",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-484-6677",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adultspan PC (Our Spoken Love)
• Aduray Counseling Services
• Advance Physical Therapy, Inc.
• Advanced Chiropractic Solutions
• Advanced Massage Healthcare, Inc.
• Advanced Medical Imaging, LLC
• Advanced Medical Imaging, LLC
• Advanced Open MRI, LLC
• Advanced Physical Therapy LLC
• Advanced Psychotherapy LLC

• Ambulatory Surgical Clinic/Center in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Ambulatory Surgical Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.