Provider Demographics
NPI:1184948663
Name:ASSOCIATED UROLOGISTS AMBULATORY SURGERY CENTER LLC
Entity type:Organization
Organization Name:ASSOCIATED UROLOGISTS AMBULATORY SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:APOSTOLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANGELIDIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:785-537-0304
Mailing Address - Street 1:1133 COLLEGE AVE STE G
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-2709
Mailing Address - Country:US
Mailing Address - Phone:785-537-0304
Mailing Address - Fax:
Practice Address - Street 1:1133 COLLEGE AVE STE G
Practice Address - Street 2:SUITE 100
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-2709
Practice Address - Country:US
Practice Address - Phone:785-537-0304
Practice Address - Fax:785-539-4710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-26
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical