Organization
NEBRASKA-IOWA RADIOLOGY CONSULTANTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON J BLEICHER M.D. (TREASURER)
(402) 339-8991
Entity
Organization
Contact information
Practice address
11111 S 84TH ST, SUITE 2476, PAPILLION, NE 68046-4122
(403) 339-8991
Mailing address
11111 S 84TH ST, SUITE 2476, PAPILLION, NE 68046-4122
(403) 339-8991
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180562
—
IA
01
—
2833
BLUE SHIELD
NE
01
—
32784
BLUE SHIELD
IA
Enumeration date
09/26/2006
Last updated
01/29/2014
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