28D2171445 CLIA NUMBER - ADVANCED MEDICAL IMAGING SURGERY CENTER

Laboratory Demographics

CLIA Number: 28D2171445

Facility Name: ADVANCED MEDICAL IMAGING SURGERY CENTER

Facility Address:
7555 PIONEERS BLVD
LINCOLN, NE
ZIP 68506
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Facility Phone Number: 402 484-4858

Facility Type: Ambulatory Surgery Center

Certificate Type: Certificate of Compliance

NPI Number: 1669692117

Taxonomy: 225700000X - Massage Therapist
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

CLIA Record

Field Name	Field Value
CLIA Number	28D2171445
LAB Type	Ambulatory Surgery Center
Facility Name	ADVANCED MEDICAL IMAGING SURGERY CENTER
Street	7555 PIONEERS BLVD
City	LINCOLN
State	NE
ZIP	68506
Phone	402 484-4858
CertificateType	2
CertificateEffectiveDate	3/2/2023
CertificateExpirationDate	3/1/2025
FacilityType	Compliance

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