LASER SURGERY HOLDING COMPANY LTD NPI 1083060107

NPI Information

NPI: 1083060107
Provider Name: LASER SURGERY HOLDING COMPANY, LTD
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 03D1098919

Address:
2000 E SOUTHERN AVE
106
TEMPE, AZ
ZIP 85282
Phone: (602) 258-7003
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LASER SURGERY HOLDING COMPANY, LTD is an ambulatory surgical clinic center in Tempe, AZ. LASER SURGERY HOLDING COMPANY, LTD NPI is 1083060107. The provider is registered as an organization entity type.

The provider's business location address is:

2000 E SOUTHERN AVE
106
TEMPE, AZ
ZIP 85282-549
Phone: (602) 258-7003
Fax: (602) 682-5164

The provider's authorized official is Velina Ruelas .
The authorized official title is Office Manager and has the following contact phone number (602) 258-7003.

The CLIA number assigned to this NPI record is 03D1098919 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/7/2016 and was last updated on 5/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	OSC7561	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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