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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