Laser Surgery Holding Company, LTD

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LASER SURGERY HOLDING COMPANY, LTD

Practice address

1760 E Florence Blvd BLDG 2
Casa Grande, AZ 85122-4776

Phone

(480) 444-7491

NPI assigned

Oct 31, 2018

Last updated

Oct 31, 2018By 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

Velina Ruelas

Title

Administrator

Phone

(480) 444-7491

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205303930. Details of each certification follow.

• CCN 03C0001490 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 03C0001490

Legal name

LASER SURGERY CENTER - CG

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jul 16, 2024

Last certification

Jun 26, 2024

Ownership / control type

Proprietary

Facility address

1760 East Florence Blvd, Building 2
Casa Grande, AZ 85122

Other NPIs with the same Medicare PAC ID 4

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

• Laser Surgery Holding Company, LTD

  • Ambulatory Surgical Clinic/Center
  • Tempe, AZ
  • NPI 1083060107

  8628126950

  Same PAC ID
• Laser Surgery Holding Company, LTD

  dba Laser Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Chandler, AZ
  • NPI 1285466037

  8628126950

  Same PAC ID
• Laser Surgery Holding Company, LTD

  • Interventional Cardiology Physician
  • Phoenix, AZ
  • NPI 1295592731

  8628126950

  Same PAC ID
• Laser Surgery Holding Company, LTD

  • Ambulatory Surgical Clinic/Center
  • Phoenix, AZ
  • NPI 1851531248

  8628126950

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Laser Surgery Holding Company, LTD

  • Ambulatory Surgical Clinic/Center
  • Tempe, AZ
  • NPI 1083060107
  NPD tax ID
• Laser Surgery Holding Company, LTD

  dba Laser Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Chandler, AZ
  • NPI 1285466037
  NPD tax ID
• Laser Surgery Holding Company, LTD

  • Interventional Cardiology Physician
  • Phoenix, AZ
  • NPI 1295592731
  NPD tax ID

Locations

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1205303930",
    "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": "850283822",
            "telephone_number": "480-444-7491",
            "fax_number": "602-682-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 E FLORENCE BLVD BLDG 2",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224776",
            "telephone_number": "480-444-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER SURGERY HOLDING COMPANY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "RUELAS",
        "authorized_official_first_name": "VELINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-444-7491"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Soledad Lamoureaux, SLPA
• Allison B Lamphier
• Aja Renea Landrie
• Tkiya Langendorf
• Olanrewaju Abraham Lanre-Kolawole, R. PH
• Robin Richmond Latto, P.A.
• Cindy Teresa Lau, PHARM D.
• Laureen Cota, DPM, PLLC
• Jewell Lavoo, RN
• Bianca Lawson

• Ambulatory Surgical Clinic/Center in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.