28D1046184 CLIA NUMBER - NEBRASKA PULMONARY SPECIALTIES, LLC

Laboratory Demographics

CLIA Number: 28D1046184

Facility Name: NEBRASKA PULMONARY SPECIALTIES, LLC

Facility Address:
1500 S 48TH STREET, SUITE 800
LINCOLN, NE
ZIP 68506
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Facility Phone Number: 402 483-8600

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1669728457

Taxonomy: 207RP1001X - Internal Medicine
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

CLIA Record

Field Name	Field Value
CLIA Number	28D1046184
LAB Type	Physician Office
Facility Name	NEBRASKA PULMONARY SPECIALTIES, LLC
Street	1500 S 48TH STREET, SUITE 800
City	LINCOLN
State	NE
ZIP	68506
Phone	402 483-8600
CertificateType	4
CertificateEffectiveDate	10/3/2023
CertificateExpirationDate	10/2/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024