New Age Laser Inc

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

NEW AGE LASER INC

Practice address

103 Medical Center Ave
Sebring, FL 33870-5423

Phone

(863) 547-5406

NPI assigned

Jun 4, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Merle Hise

Title

Laser Consultant Technician

Phone

(863) 547-5406

Specialties & licenses 1

Addresses

Other names 1

• New Age Laser inc Former legal business name

Locations

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1457919425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MEDICAL CENTER AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705423",
            "telephone_number": "863-547-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MEDICAL CENTER AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705423",
            "telephone_number": "863-547-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE LASER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "HISE",
        "authorized_official_first_name": "MERLE",
        "authorized_official_title_or_position": "LASER CONSULTANT TECHNICIAN",
        "authorized_official_telephone_number": "863-547-5406",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Age Laser inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Other Technician in Sebring, FL
• Providers in Sebring, FL by specialty
• Other Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.