Missouri Laser, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MISSOURI LASER, LLC

Practice address

334 E Kearney St
PMB 221
Springfield, MO 65803-3018

Phone

(520) 547-4130

Fax

(520) 258-0304

NPI assigned

Feb 4, 2008

Last updated

Jun 5, 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

Chris Gleason

Title

Ceo

Phone

(520) 547-4130

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1336327204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 E SPEEDWAY BLVD",
            "address_2": "SUITE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101147",
            "telephone_number": "520-547-4130",
            "fax_number": "520-258-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 E KEARNEY ST",
            "address_2": "PMB 221",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658033018",
            "telephone_number": "520-547-4130",
            "fax_number": "520-258-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI LASER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "GLEASON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-547-4130"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Missouri Dental Professionals, Richard Straus, DMD, PC (Spring View Dental Care)
• Missouri Empowerment Project
• Missouri Eye Institute LLC
• Missouri Mennonite Clinic, LLC
• Missouri Midwifery Service
• Missouri Physicians Eyecare Group, P.C.
• Missouri Psych Services LLC
• Missouri State University (The Kitchen Clinic)

• Ambulatory Surgical Clinic/Center in Springfield, MO
• Providers in Springfield, MO by specialty
• Ambulatory Surgical Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.