# OMEGA SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1255346045
- **Authorized official:** DR. SAO JANG LIU M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (402) 493-2020

## Contact information

- **Practice address:** 11606 NICHOLAS ST, SUITE 200, OMAHA, NE 68154-4478
- **Practice address phone:** (402) 493-2020
- **Practice address fax:** (402) 493-8341
- **Mailing address:** 11606 NICHOLAS ST, SUITE 200, OMAHA, NE 68154-4478
- **Mailing address phone:** (402) 493-2020
- **Mailing address fax:** (402) 493-8341

## Taxonomy

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

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 04/29/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0548354 | IOWA MEDICAID | IA |
| 01 | — | 31910 | BLUE CROSS & BLUE SHIELD | NE |
| 01 | — | 490004242 | RAILROAD MEDICARE | NE |
| 01 | — | 6890031 | UNITED HEALTHCARE | NE |
| 01 | — | F231768 | MIDLANDS CHOICE | NE |