Laser Spine Institute LL Sole MBR

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LASER SPINE INSTITUTE LL SOLE MBR

Doing business as

Spine DME Solutions LLC

Practice address

8888 E Raintree Dr Ste 165
Scottsdale, AZ 85260-3952

Phone

(813) 289-9613

Fax

(484) 253-1790

NPI assigned

Nov 2, 2017

Last updated

Nov 2, 2017By 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. Michael Perry, MDNPI 1770537003

Title

Medial Director

Phone

(813) 289-9613

Specialties & licenses 1

Addresses

Other names 1

• Spine DME Solutions LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael William Perry, M.D.

  • Specialist
  • Tampa, FL
  • NPI 1770537003
  Authorized official Same address or phone

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1598277261",
    "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": "813-289-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8888 E RAINTREE DR STE 165",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603952",
            "telephone_number": "813-289-9613",
            "fax_number": "484-253-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER SPINE INSTITUTE LL SOLE MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDIAL DIRECTOR",
        "authorized_official_telephone_number": "813-289-9613",
        "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": [
        {
            "organization_name": "Spine DME Solutions LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcia H Larson, R.D.
• Mary E. Larson, NP
• Thayne R Larson, MD
• Jay Lance Lary, MA LAC NCC
• Lasala Medical LLC (Sunset Clinic)
• Laser Spine Institute of Arizona, LLC
• Laser Spine Surgery Center of Arizona, LLC
• Lasmc Enterprises LLC (Dr. Judy Huey DDS Dentist)
• Latham Assisted Living Home LLC
• Summerslee Madison Latham

• Ambulatory Surgical Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.