PACIFIC SURGERY CENTER LLC NPI 1720334097

NPI Information

PACIFIC SURGERY CENTER, LLC is an ambulatory surgical clinic center in Omaha, NE. PACIFIC SURGERY CENTER, LLC NPI is 1720334097. The provider is registered as an organization entity type.

The provider's business location address is:

10707 PACIFIC ST STE 100
OMAHA, NE
ZIP 68114-762
Phone: (402) 933-1844
Fax: (402) 932-5891

The provider's authorized official is Euclid Desouza .
The authorized official title is Board Member and has the following contact phone number (402) 391-2166.

The CLIA number assigned to this NPI record is 28D2051578 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2012 and was last updated on 8/19/2013.

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:

Other Identifiers

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