NPIMap

Organization Active NPI

Laser Surgery Holding Company, LTD

  • Ambulatory Surgical Clinic/Center
  • Tempe, AZ
National Provider Identifier
1083060107
Registry record updated May 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
OSC7561 Issued in AZ
Legal business name
LASER SURGERY HOLDING COMPANY, LTD
Practice address
2000 E Southern Ave
106
Tempe, AZ 85282-7549
Phone
(602) 258-7003
Fax
(602) 682-5164
NPI assigned
May 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Velina Ruelas
Title
Office Manager
Phone
(602) 258-7003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X OSC7561 AZ Primary

Addresses

Primary practice location

2000 E Southern Ave
106
Tempe, AZ 85282-7549

Mailing address

10255 N 32ND St
Phoenix, AZ 85028-3851
Phone (602) 258-7003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220302001244 AZ Part B Supplier - Ambulatory Surgical Center 8628126950 Practice locations: Tempe, AZ

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Laser Surgery Holding CompanyCCN 03C0001370
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Laser Surgery Holding Company LTD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462579200000",
    "number": "1083060107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10255 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283851",
            "telephone_number": "602-258-7003",
            "fax_number": "602-682-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E SOUTHERN AVE",
            "address_2": "106",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827549",
            "telephone_number": "602-258-7003",
            "fax_number": "602-682-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER SURGERY HOLDING COMPANY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-07",
        "last_updated": "2016-05-07",
        "status": "A",
        "authorized_official_last_name": "RUELAS",
        "authorized_official_first_name": "VELINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-258-7003",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC7561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.