Tael Laser Center, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

0101237343 Issued in VA

Legal business name

TAEL LASER CENTER, LLC

Practice address

158 Front Royal Pike
Suite 108
Winchester, VA 22602-4346

Phone

(540) 313-8976

NPI assigned

Jul 1, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Garrison V Morin, M.D.

Title

Ceo

Phone

(540) 313-8976

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11551/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1356724801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 FRONT ROYAL PIKE",
            "address_2": "SUITE 108",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226024346",
            "telephone_number": "540-313-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 FRONT ROYAL PIKE",
            "address_2": "SUITE 108",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226024346",
            "telephone_number": "540-313-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAEL LASER CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "MORIN",
        "authorized_official_first_name": "GARRISON",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-313-8976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "VA",
            "license": "0101237343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard M Swope, MD
• Jeffrey Scott Swope, D.C.
• Kasey Lynn Sydnor
• Laurence Symenow, RN
• Emily C Szabo, PT
• Molly Tahmaseb
• Alexa Taicher, SLP
• Hayley Gwynn Talbott, PA-C
• Arkeem Talley
• Jordan H Talley, D.O.

• Medical Specialty Clinic/Center in Winchester, VA
• Providers in Winchester, VA by specialty
• Medical Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.