Provider Demographics
NPI:1457397374
Name:TOUCHSTONE IMAGING OF OMAHA, LLC
Entity Type:Organization
Organization Name:TOUCHSTONE IMAGING OF OMAHA, LLC
Other - Org Name:VILLAGE POINTE IMAGING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:RICE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:615-661-9200
Mailing Address - Street 1:PO BOX 102653
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30368-2653
Mailing Address - Country:US
Mailing Address - Phone:615-661-9200
Mailing Address - Fax:615-661-9297
Practice Address - Street 1:302 N 168TH CIR
Practice Address - Street 2:STE 202
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68118-4089
Practice Address - Country:US
Practice Address - Phone:402-502-7226
Practice Address - Fax:402-502-7098
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOUCHSTONE MEDICAL IMAGING, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-20
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0715915Medicaid
NE10025304500Medicaid
IA0715915Medicaid