Organization
NEBRASKA ADVANCED RADIOLOGY, LLC
Active
Other names
Molecular Diagnostics of Eastern Omaha, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN S NELSON R.T.(R)(M)(CT) (MANAGER)
(402) 715-5200
Entity
Organization
Contact information
Practice address
117 NORTH 32ND AVENUE, SUITE 100, OMAHA, NE 68131-2505
(402) 715-5200
(402) 715-5201
Mailing address
117 NORTH 32ND AVENUE, SUITE 100, OMAHA, NE 68131-2505
(402) 715-5200
(402) 715-5201
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025469000
—
NE
05
—
1558448028
—
IA
Enumeration date
10/20/2006
Last updated
02/18/2013
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