Laser Spine Surgery Center of Cleveland, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LASER SPINE SURGERY CENTER OF CLEVELAND, LLC

Practice address

300 Allen Bradley Dr
Mayfield Heights, OH 44124-6131

Phone

(216) 356-4982

Fax

(484) 253-1790

NPI assigned

Jul 8, 2014

Organization subpart

Yes

Parent organization

LSI HOLDCO, LLCAs reported in NPPES

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

Authorized official

Name

Michael W Perry, MD

Title

Medical Director

Phone

(813) 289-9613

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1275949570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5332 AVION PARK DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071412",
            "telephone_number": "813-682-2944",
            "fax_number": "484-253-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ALLEN BRADLEY DR",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441246131",
            "telephone_number": "216-356-4982",
            "fax_number": "484-253-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER SPINE SURGERY CENTER OF CLEVELAND, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LSI HOLDCO, LLC",
        "enumeration_date": "2014-07-08",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-289-9613",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin E Kurtz
• Mark A Kyle, D.D.S.
• Marius M. Laniauskas, D.D.S.
• Angela Marie Lapic, NP
• Christine Larosa
• Eric Scott Lawrence, DDS
• Tameika Leachman
• Danielle Leblang, APRN-CNP
• Lechanne Renee Ledger, LISW, LCSW,, LICDC
• Jason E Leedy, MD

• Ambulatory Surgical Clinic/Center in Mayfield Heights, OH
• Providers in Mayfield Heights, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.