LAKESIDE AMBULATORY SURGICAL CENTER LLC
NPI 1528026788
Clinic/Center - Ambulatory Surgical in Omaha, NE

Q: What is Lakeside Ambulatory Surgical Center LLC's specialty?

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

Active since May 03, 2006CLIA 28D1053164 · Waiver

17030 LAKESIDE HILLS PLZ STE 110, OMAHA, NE 68130(402) 758-5120(402) 758-5087 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Lakeside Ambulatory Surgical Center Llc NPPES

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

LAKESIDE AMBULATORY SURGICAL CENTER LLC (NPI 1528026788) is a healthcare organization registered as an ambulatory surgical in Omaha, Nebraska and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 16, 2028 and lists Alicia K Wagner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1528026788

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameLAKESIDE AMBULATORY SURGICAL CENTER LLC

Location Address17030 LAKESIDE HILLS PLZ STE 110Omaha, NE 68130-2440

Mailing Address17030 Lakeside Hills Plz Ste 110Omaha, NE 68130-2440 · (402) 758-5120 · Fax (402) 758-5087

Phone(402) 758-5120

Fax(402) 758-5087

Organization SubpartNo

Authorized OfficialAlicia K WagnerCeo · (402) 758-5212

Enumeration DateMay 3, 2006

Last NPPES UpdateNovember 13, 20252 updates tracked since enumeration

NPPES CertifiedNovember 13, 2025

✔ NPI 1528026788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

17030 LAKESIDE HILLS PLZ STE 110, Omaha, NE 68130

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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 28D1053164

Lakeside Ambulatory Surgical Center LLC · Omaha, NE

Active · expires Apr 16, 2028

CLIA Number28D1053164

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateApril 17, 2026

Certificate Expiration DateApril 16, 2028

Laboratory DirectorDaniel Mcgrane

Laboratory Phone(402) 758-5220

Laboratory LocationLakeside Ambulatory Surgical Center LLC17030 Lakeside Hills Drive, Suite 110, Omaha, NE 68130

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

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.

Injection, bupivacaine liposome, 1 mg C9290

Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.

22,477 services79 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

55 services50 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

41 services39 patients

Removal of membrane of retina with removal of internal limiting membrane of retina 67042

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

32 services32 patients

Removal of membrane of retina 67041

Removal of the retina's membrane is a surgical procedure aimed at treating eye conditions affecting the retina's function. It involves a delicate operation to eliminate scar tissue or membranes causing vision problems. The procedure can help improve or stabilize vision.

27 services27 patients

Repair of detached retina with drainage and removal of eye fluid between lens and retina 67108

This procedure addresses a detached retina, a serious eye condition. It involves draining fluid from between the lens and retina, allowing the retina to reattach. Then, the eye fluid is removed to prevent future detachments. It's a crucial step for vision restoration.

24 services24 patients

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 Ambulatory Surgical Center LLC's NPI number?

The NPI number for Lakeside Ambulatory Surgical Center LLC is 1528026788. It was assigned to this organization in the NPPES registry on May 3, 2006.

Where is Lakeside Ambulatory Surgical Center LLC located?

Lakeside Ambulatory Surgical Center LLC is located at 17030 Lakeside Hills Plz Ste 110, Omaha, NE 68130. The listed phone number is (402) 758-5120.

What is Lakeside Ambulatory Surgical Center LLC's specialty?

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

Does Lakeside Ambulatory Surgical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D1053164) is associated with this NPI, valid through April 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lakeside Ambulatory Surgical Center LLC accept?

Health plans from Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list Lakeside Ambulatory Surgical 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 Ambulatory Surgical Center LLC was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.