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

Lakeside Endoscopy Center LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1407992241

Lakeside Endoscopy Center LLC is an Ambulatory Surgical Clinic/Center in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2007.

Licensed in
NE
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17001 Lakeside Hills Plz Ste 201
Omaha, NE 68130
Phone: (402) 614-2300
Fax: (402) 505-4738
Show map & directions

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

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence ASC054 (NE)
Ambulatory Surgical Clinic/Center Taxonomy 261QA1903X

Record details

NPI number1407992241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Harmon — Md · (402) 397-7057
NPI enumeratedJanuary 29, 2007
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024
Mailing address8901 Indian Hills Dr, Suite 200, Omaha, NE 68114

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