Organization
ALEGENT CREIGHTON HEALTH
Active
Organization
ALEGENT CREIGHTON HEALTH
Active
Other names
CHI Health Lakeside Imaging, Alegent Health Lakeside IDTF
Organization subpart
No
Provider details
NPI number
Authorized official
TIM BRICKER (CEO)
(541) 610-8147
Entity
Organization
Contact information
Practice address
17030 LAKESIDE HILLS PLZ, OMAHA, NE 68130-2396
(402) 758-5060
(402) 758-5079
Mailing address
PO BOX 772650, CHICAGO, IL 60677-0001
(402) 717-4377
(402) 717-4317
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Enumeration date
07/18/2006
Last updated
12/09/2024
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