Laser Spine & Pain Centers Prado LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LASER SPINE & PAIN CENTERS PRADO LLC

Practice address

5505 Roswell Rd Ste 350B
Sandy Springs, GA 30342-1985

Phone

(770) 627-7246

Fax

(404) 393-1611

NPI assigned

Dec 4, 2020

Last updated

Dec 4, 2020By 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

Dr. Vinaya Krishna Puppala, MD

Title

Chief Executive Officer

Phone

(847) 340-7215

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1205431368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 PERMIAN WAY STE D",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803226",
            "telephone_number": "770-627-7246",
            "fax_number": "404-393-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 ROSWELL RD STE 350B",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303421985",
            "telephone_number": "770-627-7246",
            "fax_number": "404-393-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER SPINE & PAIN CENTERS PRADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "PUPPALA",
        "authorized_official_first_name": "VINAYA",
        "authorized_official_middle_name": "KRISHNA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "847-340-7215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lanathya Lafond
• Toni Marie Landau, MA CCC-A
• Brandon Landry, PSYD
• Vanessa Renee Lane, PT, DPT
• Valery E.E Laroche, MMP
• Amanda Celeste Lawson
• Susannah Lee Leach, RD, LD
• Amanda Marie Leary
• Lebelle Studios LLC
• Bok Lee

• Ambulatory Surgical Clinic/Center in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.