Active NPI
Siouxland Diagnostic Lab Services LLC
- Clinical Medical Laboratory
- Omaha, NE
National Provider Identifier
1710302575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SIOUXLAND DIAGNOSTIC LAB SERVICES LLC
- Practice address
- 825 N 90TH St
Suite 500
Omaha, NE 68114-2702 - Phone
- (402) 391-2005
- Fax
- (402) 391-1302
- NPI assigned
- Mar 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dionne M Finken
- Title
- Office Manager
- Phone
- (402) 391-2005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
825 N 90TH St
Suite 500
Omaha, NE 68114-2702
Mailing address
825 N 90TH St
Suite 500
Omaha, NE 68114-2702
Phone (402) 391-2005
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D2075176 | Siouxland Diagnostic Lab Services LLC | Accreditation | May 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
825 N 90th St
Ste 500
Omaha, NE 68114
Phone (402) 391-2005
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
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- Dakota Dunes, SD
- NPI 1093736779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624924800000",
"number": "1710302575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 N 90TH ST",
"address_2": "SUITE 500",
"city": "OMAHA",
"state": "NE",
"postal_code": "681142702",
"telephone_number": "402-391-2005",
"fax_number": "402-391-1302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 N 90TH ST",
"address_2": "SUITE 500",
"city": "OMAHA",
"state": "NE",
"postal_code": "681142702",
"telephone_number": "402-391-2005",
"fax_number": "402-391-1302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIOUXLAND DIAGNOSTIC LAB SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-03",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A",
"authorized_official_last_name": "FINKEN",
"authorized_official_first_name": "DIONNE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "402-391-2005"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"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 Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.