Provider Demographics
NPI:1952596389
Name:RAMIC OMAHA, LLC
Entity Type:Organization
Organization Name:RAMIC OMAHA, LLC
Other - Org Name:PROFESSIONAL IMAGING OMAHA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:RAASCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-391-1600
Mailing Address - Street 1:PO BOX 7268
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-0268
Mailing Address - Country:US
Mailing Address - Phone:970-663-2742
Mailing Address - Fax:970-667-0847
Practice Address - Street 1:310 REGENCY PARKWAY
Practice Address - Street 2:SUITE 125
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3725
Practice Address - Country:US
Practice Address - Phone:402-391-1600
Practice Address - Fax:402-391-0700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025571000Medicaid
NE10025571000Medicaid
NE900048Medicare PIN