UROLOGY SURGICAL CENTER LLC NPI 1467490433

NPI Information

NPI: 1467490433
Provider Name: UROLOGY SURGICAL CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 28D2007662

Address:
5500 PINE LAKE RD
LINCOLN, NE
ZIP 68516
Phone: (402) 421-8899
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UROLOGY SURGICAL CENTER LLC is an ambulatory surgical clinic center in Lincoln, NE. UROLOGY SURGICAL CENTER LLC NPI is 1467490433. The provider is registered as an organization entity type.

The provider's business location address is:

5500 PINE LAKE RD
LINCOLN, NE
ZIP 68516-389
Phone: (402) 421-8899
Fax: (402) 421-8950

The provider's authorized official is Jenna Stratman .
The authorized official title is Administrator and has the following contact phone number (402) 489-8888.

The CLIA number assigned to this NPI record is 28D2007662 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 2/10/2021.

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	ASC028	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6800029	OTHER	NEBRASKA	UNITED HEALTHCARE
2	01082	OTHER	NEBRASKA	BLUECROSS BLUE SHIELD PPO
3	F1023	OTHER	NEBRASKA	MIDLANDS CHOICE

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: 4/28/2024

NPI Synchronization or Removal

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