| NPI | 1164997102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER E JENSEN CFO 402-973-1915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2025-04-01 |