NPIMap

Organization Active NPI

Diagnostic Radiology PC Vein Clinic

  • Diagnostic Radiology Physician
  • Omaha, NE
National Provider Identifier
1619390754
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
DIAGNOSTIC RADIOLOGY PC VEIN CLINIC
Practice address
16929 Frances St Ste 204
Omaha, NE 68130
Phone
(402) 758-5233
Fax
(402) 884-9960
NPI assigned
Jan 26, 2014
Last updated
May 18, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
DIAGNOSTIC RADIOLOGY PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Authorized official

Name
Jo A Pohl
Title
Manager
Phone
(308) 647-6444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

16929 Frances St Ste 204
Omaha, NE 68130

Mailing address

PO Box 3521
Omaha, NE 68103-0521
Phone (308) 647-6444

National Provider Directory

National Provider Directory
Tax ID family
Diagnostic Radiology PC4 organizations share this tax ID, including this one
Part of
Diagnostic Radiology PC

Other organizations with this tax ID 3

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

Locations

16929 Frances St
Ste 204
Omaha, NE 68130
Phone (402) 758-5233

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1390694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1619390754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3521",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681030521",
            "telephone_number": "308-647-6444",
            "fax_number": "866-902-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16929 FRANCES ST STE 204",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68130",
            "telephone_number": "402-758-5233",
            "fax_number": "402-884-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC RADIOLOGY PC VEIN CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIAGNOSTIC RADIOLOGY PC",
        "enumeration_date": "2014-01-26",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "POHL",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "308-647-6444"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 18, 2018; 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.