Healthcare Provider Details

I. General information

NPI: 1942306816
Provider Name (Legal Business Name): OMEGA SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 04/29/2021
Certification Date: 04/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11606 NICHOLAS ST SUITE 200
OMAHA NE
68154-4478
US

IV. Provider business mailing address

755 FALLBROOK BLVD STE 204
LINCOLN NE
68521-9055
US

V. Phone/Fax

Practice location:
  • Phone: 402-493-3712
  • Fax: 402-493-8341
Mailing address:
  • Phone: 402-483-4448
  • Fax: 402-483-4750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SAO JANG LIU
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 402-493-2020