NPIMap

Organization Active NPI

Joshua Clinical Laboratories,LLC

  • Clinical Medical Laboratory
  • Omaha, NE
National Provider Identifier
1871852905
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
JOSHUA CLINICAL LABORATORIES,LLC
Practice address
4805 S 25TH St
Omaha, NE 68107-2797
Phone
(402) 731-7333
Fax
(402) 614-5405
NPI assigned
May 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Mr. David E. Kershner, MDNPI 1144304429
Title
Laboratory Director
Phone
(402) 731-7333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4805 S 25TH St
Omaha, NE 68107-2797

Mailing address

PO Box 7365
4805 South 25TH Street
Omaha, NE 68107-0365
Phone (402) 731-7333

National Provider Directory

National Provider Directory

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": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1871852905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7365",
            "address_2": "4805 SOUTH 25TH STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681070365",
            "telephone_number": "402-731-7333",
            "fax_number": "402-614-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 S 25TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681072797",
            "telephone_number": "402-731-7333",
            "fax_number": "402-614-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA CLINICAL LABORATORIES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "KERSHNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "402-731-7333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "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 May 9, 2012; 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.