Organization Active NPI

Laser Cosmetic Wellnes Center

  • Multi-Specialty Clinic/Center
  • Gig Harbor, WA
National Provider Identifier
1174041008
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
AP30006085 Issued in WA
Legal business name
LASER COSMETIC WELLNES CENTER
Practice address
7901 Skansie Ave Ste 105
Gig Harbor, WA 98335-7497
Phone
(253) 858-2408
Fax
(253) 432-4050
NPI assigned
Aug 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dyna Swayzer Swayzer
Title
Adminstrator
Phone
(253) 278-5741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X AP30006085 WA Primary

Addresses

Primary practice location

7901 Skansie Ave Ste 105
Gig Harbor, WA 98335-7497

Mailing address

7901 Skansie Ave Ste 105
Gig Harbor, WA 98335-7497
Phone (253) 858-2408

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174041008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 SKANSIE AVE STE 105",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983357497",
            "telephone_number": "253-858-2408",
            "fax_number": "253-432-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 SKANSIE AVE STE 105",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983357497",
            "telephone_number": "253-858-2408",
            "fax_number": "253-432-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER COSMETIC WELLNES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SWAYZER",
        "authorized_official_first_name": "DYNA",
        "authorized_official_middle_name": "SWAYZER",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "253-278-5741"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "WA",
            "license": "AP30006085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.