# CENTRAL OHIO UROLOGY SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1881948073
- **Authorized official:** AMANDA LEWIS (CNO)
- **Authorized official phone:** (614) 396-8684

## Contact information

- **Practice address:** 701 TECH CENTER DR STE 200, GAHANNA, OH 43230-1987
- **Practice address phone:** (614) 396-2684
- **Mailing address:** 701 TECH CENTER DR, GAHANNA, OH 43230-1987
- **Mailing address phone:** (614) 396-2684

## Taxonomy

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

## Other

- **Enumeration date:** 11/09/2012
- **Last updated:** 04/11/2025