Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Alegent Creighton Health

Organization Body Imaging Physician · NPI 1417975483

Alegent Creighton Health provides Body Imaging Physician services 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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