Organization
ORAL PATHOLOGY LABORATORY
Active
Parent organization
UNIVERSITY DENTAL ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY DENTAL ASSOCIATES
Authorized official
DR. NAGAMANI NARAYANA D.M.D., M.S. (DIRECTOR)
(402) 472-1355
Entity
Organization
Contact information
Practice address
4000 HOLDREGE ST ROOM 100, LINCOLN, NE 68583-0740
(402) 472-1296
(402) 472-2551
Mailing address
PO BOX 830740, 40TH AND HOLDREGE ST, LINCOLN, NE 68583-0740
(402) 472-1296
(402) 472-2551
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078998516
—
NE
Enumeration date
01/31/2008
Last updated
02/12/2008
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