NPIMap

Organization Active NPI

Complete Laser Clinic of Louisville, LLC

  • Multi-Specialty Clinic/Center
  • Louisville, KY
National Provider Identifier
1700313293
Registry record updated May 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
COMPLETE LASER CLINIC OF LOUISVILLE, LLC
Practice address
3000 Fern Valley Rd
Louisville, KY 40213-3522
Phone
(502) 208-1803
NPI assigned
May 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2017

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

Authorized official

Name
Cary Story
Title
Manager
Phone
(502) 208-1803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X KY Primary

Addresses

Primary practice location

3000 Fern Valley Rd
Louisville, KY 40213-3522

Mailing address

PO Box 3805
Louisville, KY 40201-3805
Phone (502) 208-1803

Other names 1

  • Convenient Care and Wellness Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494892800000",
    "number": "1700313293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3805",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402013805",
            "telephone_number": "502-208-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 FERN VALLEY RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402133522",
            "telephone_number": "502-208-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE LASER CLINIC OF LOUISVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-16",
        "last_updated": "2017-05-16",
        "status": "A",
        "authorized_official_last_name": "STORY",
        "authorized_official_first_name": "CARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-208-1803"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Convenient Care and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

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