1. Home
  2. Directory
  3. Nebraska
  4. Omaha
  5. Clinic Center
  6. NPI Profile

LAKESIDE ENDOSCOPY CENTER LLC
NPI 1407992241
Clinic/Center - Ambulatory Surgical in Omaha, NE

Active since January 29, 2007CLIA 28D1079884 · Waiver
17001 LAKESIDE HILLS PLZ, SUITE 201, OMAHA, NE 68130(402) 614-2300(402) 505-4738 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeside Endoscopy Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE ENDOSCOPY CENTER LLC (NPI 1407992241) is a healthcare organization registered as an ambulatory surgical in Omaha, Nebraska and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through February 7, 2028 and lists Kimberly S Harmon, Md, as its authorized official.

NPPES Registry Identity

NPI1407992241
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLAKESIDE ENDOSCOPY CENTER LLC
Location Address17001 LAKESIDE HILLS PLZ, SUITE 201Omaha, NE 68130
Mailing Address8901 Indian Hills Dr, Suite 200Omaha, NE 68114 · (402) 505-4713 · Fax (402) 505-4738
Phone(402) 614-2300
Fax(402) 505-4738
Organization SubpartNo
Authorized OfficialKimberly S HarmonMd · (402) 397-7057
Enumeration DateJanuary 29, 2007
Last NPPES UpdateMay 8, 2024
NPPES CertifiedMay 8, 2024
✔ NPI 1407992241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in NE · ASC054
17001 LAKESIDE HILLS PLZ, Omaha, NE 68130
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 28D1079884

Lakeside Endoscopy Center LLC · Omaha, NE
Active · expires Feb 7, 2028
CLIA Number28D1079884
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 8, 2026
Certificate Expiration DateFebruary 7, 2028
Laboratory DirectorDr. Kimberly S. Harmon
Laboratory Phone(402) 614-2300
Laboratory LocationLakeside Endoscopy Center LLC17001 Lakeside Hills Plaza Suite 201, Omaha, NE 68130
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This 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.
177 services177 patients
Biopsy of large bowel using a flexible endoscope 45380
A 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.
139 services138 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
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.
100 services99 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal 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.
70 services70 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal 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.
30 services30 patients
Dilation of esophagus 43450
Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.
21 services20 patients

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN DONALD TORPY M.D.
Surgery
17001 LAKESIDE HILLS PLZ, SUITE 102
OMAHA, NE 68130
Douglas County (402) 934-6996
BRUCE H BRUMM MD PC
Durable Medical Equipment & Medical Supplies
17001 LAKESIDE HILLS PLZ, SUITE 101
OMAHA, NE 68130
Douglas County (402) 934-7700
DR. TERRENCE J KOLBECK MD
Obstetrics & Gynecology
17001 LAKESIDE HILLS PLZ, SUITE 100
OMAHA, NE 68130
Douglas County (402) 697-7200
BRUCE H BRUMM MD PC
Ophthalmology
17001 LAKESIDE HILLS PLZ, SUITE 101
OMAHA, NE 68130
Douglas County (402) 934-7700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Endoscopy Center LLC's NPI number?

The NPI number for Lakeside Endoscopy Center LLC is 1407992241. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Lakeside Endoscopy Center LLC located?

Lakeside Endoscopy Center LLC is located at 17001 Lakeside Hills Plz Suite 201, Omaha, NE 68130. The listed phone number is (402) 614-2300.

What is Lakeside Endoscopy Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Lakeside Endoscopy Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D1079884) is associated with this NPI, valid through February 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lakeside Endoscopy Center LLC accept?

Health plans from Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list Lakeside Endoscopy Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeside Endoscopy Center LLC was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.