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Organization

RADIOLOGY CONSULTANTS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHIRLEANE LANGE (ADMINISTRATOR)
(402) 597-8775
Entity
Organization

Contact information

Practice address
11902 W CENTER RD STE 200, OMAHA, NE 68144-4326
(402) 398-6198
Mailing address
PO BOX 4460, OMAHA, NE 68104
(866) 491-5807
(913) 491-0411

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01939
BCBS
NE
05
0211557
IA
05
0575241
NE
05
0943290
NE
05
0943290
NV
05
10025038700
NE
05
10025039100
NE
01
17829
IOWA BCBS
01
CG9162
RR MEDICARE
IA
01
CS9045
RR MEDICARE
NE
Enumeration date
07/07/2006
Last updated
12/04/2024
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