Organization Active NPI

Laser & Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Lacey, WA
National Provider Identifier
1811932791
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
261QA1903X Issued in WA
Legal business name
LASER & SURGERY CENTER, LLC
Practice address
345 College St SE
Suite a
Lacey, WA 98503-1013
Phone
(360) 456-7077
Fax
(360) 357-4848
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Dr. Grant D Aaker, MDNPI 1770872988
Title
Medical Director
Phone
(360) 456-3200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

345 College St SE
Suite a
Lacey, WA 98503-1013

Mailing address

345 College St SE
Suite a
Lacey, WA 98503-1013
Phone (360) 456-7077

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060426000731 WA Part B Supplier - Ambulatory Surgical Center 2163432741 Practice locations: Lacey, WA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Laser and Surgery Centre LLCCCN 50C0001257
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
50D1062353Laser and Surgery Center LLC345 College Street SW Suite a, Lacey, WA 98503Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

345 College St SE
Ste A
Olympia, WA 98503
Phone (360) 456-7070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1811932791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 COLLEGE ST SE",
            "address_2": "SUITE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031013",
            "telephone_number": "360-456-7077",
            "fax_number": "360-357-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 COLLEGE ST SE",
            "address_2": "SUITE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031013",
            "telephone_number": "360-456-7077",
            "fax_number": "360-357-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER & SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "AAKER",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "360-456-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "261QA1903X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.