Organization Active NPI

Laurel Laser & Surgery Center, L.P.

Doing business as Laurel Laser & Surgery Center-Altoona

  • Ambulatory Surgical Clinic/Center
  • Brookville, PA
National Provider Identifier
1699813774
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LAUREL LASER & SURGERY CENTER, L.P.
Doing business as
Laurel Laser & Surgery Center-Altoona
Practice address
52 Waterford Pike
Brookville, PA 15825-2599
Phone
(814) 849-0898
Fax
(814) 849-6983
NPI assigned
Feb 2, 2007
Last updated
Dec 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Authorized official

Name
Whitney N Sutley
Title
Administrator/Clinical Director
Phone
(814) 849-6561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

52 Waterford Pike
Brookville, PA 15825-2599

Mailing address

52 Waterford Pike
Brookville, PA 15825-2518
Phone (814) 849-0898

Other practice location 1

176 Vision Drive
Duncansville, PA 16635
Phone (814) 849-0898

Other identifiers 5

IdentifierTypeStateIssuer
261606OtherPAUPMC
1437OtherPABLUE CROSS
P00478269OtherPARAILROAD MEDICARE
737168OtherPAHEALTH AMERICA
0018054350006MedicaidPA

Other names 1

  • Laurel Laser & Surgery Center-Altoona Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070409000440 PA Part B Supplier - Ambulatory Surgical Center 3678677226 Practice locations: Duncansville, PA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Laurel Laser and Surgery Center AltoonaCCN 39C0001247
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1067034Laurel Laser Surgery Center Alt176 Vision Drive, Duncansville, PA 16635Certificate of waiverApr 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Laurel Laser Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

50 Waterford Pike
Brookville, PA 15825
Phone (814) 849-6591

176 Vision Dr
Duncansville, PA 16635
Phone (814) 949-1914

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1699813774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 WATERFORD PIKE",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158252518",
            "telephone_number": "814-849-0898",
            "fax_number": "814-849-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 WATERFORD PIKE",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158252599",
            "telephone_number": "814-849-0898",
            "fax_number": "814-849-6983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 Vision Drive",
            "address_purpose": "LOCATION",
            "city": "Duncansville",
            "state": "PA",
            "postal_code": "16635",
            "country_code": "US",
            "telephone_number": "814-849-0898",
            "fax_number": "814-849-2890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAUREL LASER & SURGERY CENTER, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "SUTLEY",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "814-849-6561"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "261606",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1437",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00478269",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "737168",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018054350006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Laser & Surgery Center-Altoona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.