# ADVANCED AUDIOLOGY OF GREATER OMAHA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124548607
- **Authorized official:** DR. SAMUEL ADAM GILLESPIE AU.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (402) 758-5327

## Contact information

- **Practice address:** 17021 LAKESIDE HILLS PLZ STE 202, OMAHA, NE 68130-2390
- **Practice address phone:** (402) 758-5327
- **Practice address fax:** (402) 758-5328
- **Mailing address:** 17021 LAKESIDE HILLS PLZ STE 202, OMAHA, NE 68130-2390
- **Mailing address phone:** (402) 758-5327
- **Mailing address fax:** (402) 758-5328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 348 | NE | Yes |

## Other

- **Enumeration date:** 06/26/2017
- **Last updated:** 05/03/2023