UNITED VASCULAR OF OMAHA LLC NPI 1326551623

NPI Information

NPI: 1326551623
Provider Name: UNITED VASCULAR OF OMAHA LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 28D2149651

Address:
17410 BURKE ST
OMAHA, NE
ZIP 68118
Phone: (804) 402-0490
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UNITED VASCULAR OF OMAHA LLC is an ambulatory surgical clinic center in Omaha, NE. UNITED VASCULAR OF OMAHA LLC NPI is 1326551623. The provider is registered as an organization entity type.

The provider's business location address is:

17410 BURKE ST
OMAHA, NE
ZIP 68118-245
Phone: (804) 402-0490

The provider's authorized official is Domenick Ronga .
The authorized official title is Ceo and has the following contact phone number (804) 655-6150.

The CLIA number assigned to this NPI record is 28D2149651 - ambulatory surgery center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/8/2017 and was last updated on 5/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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