Healthcare Provider Details
I. General information
NPI: 1912816893
Provider Name (Legal Business Name): DIVERSIFIED SAFETY AND COMPLIANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6400 CORNHUSKER HWY STE 450
LINCOLN NE
68507-3156
US
IV. Provider business mailing address
6400 CORNHUSKER HWY STE 450
LINCOLN NE
68507-3156
US
V. Phone/Fax
- Phone: 402-252-5144
- Fax:
- Phone: 402-252-5144
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QX0100X |
| Taxonomy | Occupational Medicine Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DEREK
W
AUDE
Title or Position: CEO
Credential:
Phone: 402-252-5144