Active NPI
Corescience Biodiagnostics
- Clinical Medical Laboratory
- Omaha, NE
National Provider Identifier
1710789870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- CORESCIENCE BIODIAGNOSTICS
- Practice address
- 3824 N 30TH St
Omaha, NE 68111-2972 - Phone
- (402) 916-0972
- NPI assigned
- Mar 27, 2025
- 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
- Sharnelle Shelton
- Title
- Director
- Phone
- (402) 916-0972
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
3824 N 30TH St
Omaha, NE 68111-2972
Mailing address
3824 N 30TH St
Omaha, NE 68111-2972
Phone (402) 916-0972
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28D2320122 | Other | NE | CLIA NUMBER |
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 |
|---|---|---|---|
| 28D2320122 | Corescience Biodiagnostics | Certificate of waiver | Mar 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
3824 N 30th St
Omaha, NE 68111
Phone (402) 916-0972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743120000000",
"number": "1710789870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3824 N 30TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681112972",
"telephone_number": "402-916-0972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3824 N 30TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681112972",
"telephone_number": "402-916-0972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORESCIENCE BIODIAGNOSTICS",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-27",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A",
"authorized_official_last_name": "SHELTON",
"authorized_official_first_name": "SHARNELLE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "402-916-0972"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA NUMBER",
"identifier": "28D2320122",
"state": "NE"
}
],
"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 Mar 28, 2025; 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.