Organization Active NPI

Siouxland Diagnostic Lab Services LLC

  • Clinical Medical Laboratory
  • Omaha, NE
National Provider Identifier
1710302575
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Jun 29, 2021

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)CodeLicenseStatePrimary
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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2075176Siouxland Diagnostic Lab Services LLC825 North 90TH Street, Suite 500, Omaha, NE 68114AccreditationMay 5, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.