Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alegent Creighton Health

Organization Body Imaging Physician · NPI 1417975483

Alegent Creighton Health is a Body Imaging Physician in Omaha, Nebraska. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

17030 Lakeside Hills Plz
Omaha, NE 68130-2396
Phone: (402) 758-5060
Fax: (402) 758-5079
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Body Imaging Physician (primary) Taxonomy 2085B0100X

Record details

NPI number1417975483
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tim Bricker — Ceo · (541) 610-8147
Other names Alegent Health Lakeside Idtf; Alegent Health Lakeside Idtf; Chi Health Lakeside Imaging
NPI enumeratedJuly 18, 2006
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024
Mailing addressPo Box 772650, Chicago, IL 60677-0001

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