# METHODIST ENDOSCOPY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083946149
- **Authorized official:** DR. TYRON A. ALLI M.D. (OWNER AND MANAGER)
- **Authorized official phone:** (402) 397-7057

## Contact information

- **Practice address:** 515 NORTH 162 AVENUE, SUITE 201, OMAHA, NE 68118-2540
- **Practice address phone:** (402) 505-8708
- **Practice address fax:** (402) 505-8748
- **Mailing address:** 515 NORTH 162 AVENUE, SUITE 201, OMAHA, NE 68118-2540
- **Mailing address phone:** (402) 505-8708
- **Mailing address fax:** (402) 505-8748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | PENDING | NE | Yes |

## Other

- **Enumeration date:** 02/01/2010
- **Last updated:** 02/13/2010