Medical Laser Services, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MEDICAL LASER SERVICES, LLC

Practice address

1375 Congress St
Portland, ME 04102-2118

Phone

(207) 761-0177

NPI assigned

Aug 24, 2006

Last updated

Aug 22, 2020By 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

Becky Hagar

Title

Practdice Manger

Phone

(207) 761-0177

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669589669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022118",
            "telephone_number": "207-761-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022118",
            "telephone_number": "207-761-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL LASER SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAGAR",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "PRACTDICE MANGER",
        "authorized_official_telephone_number": "207-761-0177"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WE DO NOT PARTICIPATE",
            "identifier": "WE DO NOT PARTICIPAT",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MD Portland LLC
• Christine Nicole Meade, MD
• Anna Grace Meader, MD
• Medi-Rents of Maine, Inc. (Praxair Healthcar Services)
• Medical House Calls of Southern Maine
• Nicole Peters Mediouni, PHARMD
• Brenda Medlin, M.D.
• Renato Medrano, M.D.
• Alexander A Medunitza, PHARMD
• Ryan Meehan, MD

• Specialist in Portland, ME
• Providers in Portland, ME by specialty
• Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.