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Contact Information

LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ
SUITE 201
OMAHA, NE68130
 Phone: 402-614-2300
 Fax: 402-505-4738
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for LAKESIDE ENDOSCOPY CENTER LLC

NPI Number 1407992241
LBN Legal business name LAKESIDE ENDOSCOPY CENTER LLC
Authorized official KIMBERLY HARMON - (MD)
Entity Organization
Organization subpart 1 No
Enumeration date 01/29/2007
Last updated 05/08/2024 - About 2 years ago
Identifiers
NE License # ASC054
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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