Laser & Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LASER & SURGERY CENTER, LLC

Practice address

4344 20TH Ave S
Fargo, ND 58103-4434

Phone

(701) 293-8242

Fax

(701) 293-0909

NPI assigned

Mar 30, 2007

Last updated

Aug 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven M Bagan, M.D.NPI 1487747267

Title

Owner

Phone

(701) 293-8242

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven M Bagan, M.D.

  • Ophthalmology Physician
  • Fargo, ND
  • NPI 1487747267
  NPD (past) Authorized official

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1114047230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4344 20TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581034434",
            "telephone_number": "701-293-8242",
            "fax_number": "701-293-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 20TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581034434",
            "telephone_number": "701-293-8242",
            "fax_number": "701-293-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER & SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "BAGAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-293-8242",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "634794110",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1114047230",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BS",
            "identifier": "2C12LA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11661",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "6800026",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Larson
• Sydney Larson, LAPC
• Tara R Larson, CRNA
• Toni Larson
• Ernst Olof Larsson, MD
• Roland Lass, MD
• Dawn Latunski
• Victoria Lynn Lau, D.C.
• David Charles Laughlin, LCSW
• Robin Elaine Lauth

• Ambulatory Surgical Clinic/Center in Fargo, ND
• Providers in Fargo, ND by specialty
• Ambulatory Surgical Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.