LAKESIDE ENDOSCOPY CENTER LLC
NPI 1407992241
Clinic/Center - Ambulatory Surgical in Omaha, NE
NPI Status: Active since January 29, 2007
Contact Information
17001 LAKESIDE HILLS PLZ
SUITE 201
OMAHA, NE
ZIP 68130
Phone: (402) 614-2300
Fax: (402) 505-4738
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
- CLIA Number: 28D1079884
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 02-07-2028
About LAKESIDE ENDOSCOPY CENTER LLC
This page provides the complete NPI Profile along with additional information for Lakeside Endoscopy Center Llc, a provider established in Omaha, Nebraska operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1407992241 assigned on January 2007. The practitioner's primary taxonomy code is 261QA1903X with license number ASC054 (NE). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Kimberly S Harmon Md (Md)
- NPI
- 1407992241
- Provider Name
- LAKESIDE ENDOSCOPY CENTER LLC
- Entity Type
- Organization
- Location Address
- 17001 LAKESIDE HILLS PLZ SUITE 201 OMAHA, NE 68130
- Location Phone
- (402) 614-2300
- Location Fax
- (402) 505-4738
- Mailing Address
- 8901 INDIAN HILLS DR SUITE 200 OMAHA, NE 68114
- Mailing Phone
- (402) 505-4713
- Mailing Fax
- (402) 505-4738
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-29-2007
- Last Update Date
- 05-08-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- ASC054
- License State
- NE
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QA1903X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue - EPO
- HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO - PPO
- HeartlandBlue Bronze 6000 Blueprint Health w/ Adult Vision - EPO
- HeartlandBlue Bronze HSA 6500 Blueprint Health - EPO
- HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
- HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO - PPO
- HeartlandBlue Bronze Standard 7500 Blueprint Health - EPO
- HeartlandBlue Bronze Standard 7500 NEtwork Blue - EPO
- HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO - PPO
- HeartlandBlue Gold $0 PCP Visit 1500 Blueprint Health - EPO
- HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue - EPO
- HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue PPO - PPO
- HeartlandBlue Gold 1000 Blueprint Health w/ Adult Vision - EPO
- HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision - EPO
- HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO - PPO
- HeartlandBlue Gold Standard 2000 Blueprint Health - EPO
- HeartlandBlue Gold Standard 2000 NEtwork Blue - EPO
- HeartlandBlue Gold Standard 2000 NEtwork Blue PPO - PPO
- HeartlandBlue Silver $0 PCP Visit 4500 Blueprint Health - EPO
- HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue - EPO
- Bronze Classic - EPO
- Bronze Classic | with Bryan Health - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Classic Standard | with Bryan Health - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Elite + PCP Saver Plus | with Bryan Health - EPO
- Bronze Simple Diabetes - EPO
- Bronze Simple Diabetes | with Bryan Health - EPO
- Gold Classic Standard - EPO
- Gold Classic Standard | with Bryan Health - EPO
- Gold Elite - EPO
- Gold Elite | with Bryan Health - EPO
- Secure - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard | with Bryan Health - EPO
- Silver Simple Diabetes - EPO
- Silver Simple Diabetes | with Bryan Health - EPO
- Silver Simple PCP Saver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
Biopsy of large bowel using a flexible endoscope
Colorectal cancer screening; colonoscopy on individual at high risk
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
Removal of polyps or growths of large bowel using an endoscope with mechanical snare
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
This service was performed 51 times for 50 patientsA biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
This service was performed 87 times for 87 patientsColorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
This service was performed 39 times for 38 patientsColorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
This service was performed 13 times for 13 patientsThis procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
This service was performed 103 times for 103 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 28D1079884
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- February 08, 2026
- Certificate Expiration Date
- February 07, 2028
- Laboratory Director
- DR. KIMBERLY S. HARMON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lakeside Endoscopy Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1407992241, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
OMAHA, NE 68130
OMAHA, NE 68130
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407992241, enumerated as an "organization" on January 29, 2007.
The provider is located at 17001 LAKESIDE HILLS PLZ SUITE 201 OMAHA, NE 68130 and the phone number is (402) 614-2300.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Nebraska and Oscar. Please consult your insurance carrier or call the provider to verify.
