LASER SURGERY HOLDING COMPANY LTD NPI 1205303930

NPI Information

NPI: 1205303930
Provider Name: LASER SURGERY HOLDING COMPANY, LTD
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 03D2157282

Address:
1760 E FLORENCE BLVD BLDG 2
CASA GRANDE, AZ
ZIP 85122
Phone: (480) 444-7491
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LASER SURGERY HOLDING COMPANY, LTD is an ambulatory surgical clinic center in Casa Grande, AZ. LASER SURGERY HOLDING COMPANY, LTD NPI is 1205303930. The provider is registered as an organization entity type.

The provider's business location address is:

1760 E FLORENCE BLVD BLDG 2
CASA GRANDE, AZ
ZIP 85122-776
Phone: (480) 444-7491

The provider's authorized official is Velina Ruelas .
The authorized official title is Administrator and has the following contact phone number (480) 444-7491.

The CLIA number assigned to this NPI record is 03D2157282 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2018 and was last updated on 10/31/2018.

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

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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