Provider Demographics
NPI:1083214852
Name:KAMDINO, INC.
Entity Type:Organization
Organization Name:KAMDINO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:J
Authorized Official - Last Name:KAMINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-505-9191
Mailing Address - Street 1:310 REGENCY PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-3725
Mailing Address - Country:US
Mailing Address - Phone:402-505-9191
Mailing Address - Fax:833-623-7166
Practice Address - Street 1:310 REGENCY PKWY STE 110
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3725
Practice Address - Country:US
Practice Address - Phone:402-505-9191
Practice Address - Fax:833-623-7166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory