Provider Demographics
NPI:1285381004
Name:THE NEBRASKA AMBULATORY SURGICAL CENTER, LLC
Entity type:Organization
Organization Name:THE NEBRASKA AMBULATORY SURGICAL CENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:LAUENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:531-249-5030
Mailing Address - Street 1:5620 S.27TH STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512
Mailing Address - Country:US
Mailing Address - Phone:531-249-5030
Mailing Address - Fax:531-249-5040
Practice Address - Street 1:5620 S.27TH STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68512
Practice Address - Country:US
Practice Address - Phone:531-249-5030
Practice Address - Fax:531-249-5040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-02
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical