NORTHEAST MEDICAL IMAGING PC NPI 1134196306

NPI Information

NPI: 1134196306
Provider Name: NORTHEAST MEDICAL IMAGING PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2700 W NORFOLK AVE
NORFOLK, NE
ZIP 68701
Phone: (402) 644-7679
Get Directions

NORTHEAST MEDICAL IMAGING PC is a diagnostic radiology radiology in Norfolk, NE. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NORTHEAST MEDICAL IMAGING PC NPI is 1134196306. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2700 W NORFOLK AVE
NORFOLK, NE
ZIP 68701-438
Phone: (402) 644-7679

The provider's authorized official is Philip Eckstrom .
The authorized official title is Part Owner and has the following contact phone number (402) 644-7679.

The enumeration date for this NPI number is 3/7/2006 and was last updated on 1/11/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========13	MEDICAID	NEBRASKA
2	098566	MEDICARE ID-TYPE UNSPECIFIED		GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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