Healthcare Provider Details

I. General information

NPI: 1497617997
Provider Name (Legal Business Name): SIMPLA GENETICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2909 BLACKHAWK DR
BELLEVUE NE
68123-3709
US

IV. Provider business mailing address

2909 BLACKHAWK DR
BELLEVUE NE
68123-3709
US

V. Phone/Fax

Practice location:
  • Phone: 402-965-1579
  • Fax:
Mailing address:
  • Phone: 402-965-1579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QG0250X
TaxonomyGenetics Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRITTNEY MEAYS HASKOVIC
Title or Position: GENETIC COUNSELOR
Credential: MS, LCGC
Phone: 402-965-1579