Organization
GREAT PLAINS DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT BOYD MD (OWNER)
(402) 391-2005
Entity
Organization
Contact information
Practice address
825 N 90TH ST, SUITE 500, OMAHA, NE 68114-2702
(402) 391-2005
(402) 408-1783
Mailing address
825 N 90TH ST, SUITE 500, OMAHA, NE 68114-2702
(402) 391-2005
(402) 408-1783
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28D2054456
CLIA
—
Enumeration date
03/07/2013
Last updated
08/20/2013
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