LASER & SURGERY CENTER LLC NPI 1114047230

NPI Information

NPI: 1114047230
Provider Name: LASER & SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
4344 20TH AVE S
FARGO, ND
ZIP 58103
Phone: (701) 293-8242
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LASER & SURGERY CENTER, LLC is an ambulatory surgical clinic center in Fargo, ND. LASER & SURGERY CENTER, LLC NPI is 1114047230. The provider is registered as an organization entity type.

The provider's business location address is:

4344 20TH AVE S
FARGO, ND
ZIP 58103-434
Phone: (701) 293-8242
Fax: (701) 293-0909

The provider's authorized official is Steven M Bagan .
The authorized official title is Owner and has the following contact phone number (701) 293-8242.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 8/1/2008.

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			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6800026	OTHER	NORTH DAKOTA	MEDICA
2	11661	MEDICAID	NORTH DAKOTA
3	634794110	MEDICAID	MINNESOTA
4	2C12LA	OTHER	MINNESOTA	MN BS
5	21136	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA
6	1114047230	OTHER	NORTH DAKOTA	RAILROAD MEDICARE

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: 5/5/2024

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