Organization
DARTMED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAY DARTMAN (PRESIDENT)
(402) 505-3420
Entity
Organization
Contact information
Practice address
16707 Q ST, SUITE 2C, OMAHA, NE 68135-1258
(402) 505-3420
(402) 505-3408
Mailing address
16707 Q ST, STE 2C, OMAHA, NE 68135-1237
(402) 505-3420
(402) 505-3480
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
28D2017331
NE
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NE
3336C0003X
Community/Retail Pharmacy
2855
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09857
BLUE CROSS BLUE SHIELD
NE
05
—
10025258900
—
NE
01
—
290155
COVENTRY
NE
01
—
F249350
MIDLANDS CHOICE
NE
Enumeration date
11/07/2006
Last updated
07/21/2022
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