NPIMap

Organization Active NPI

Laser Spine Institute LL Sole MBR

Doing business as Spine DME Solution LLC

  • Ambulatory Surgical Clinic/Center
  • Creve Coeur, MO
National Provider Identifier
1821500505
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LASER SPINE INSTITUTE LL SOLE MBR
Doing business as
Spine DME Solution LLC
Practice address
450 N New Ballas Rd
Creve Coeur, MO 63141-6835
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

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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
Medical Director
Phone
(813) 289-9613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

450 N New Ballas Rd
Creve Coeur, MO 63141-6835

Mailing address

5332 Avion Park Dr
Tampa, FL 33607-1412
Phone (813) 392-7604

Other names 1

  • Spine DME Solution LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Laser Spine Institute LL Sole MBR4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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": "1821500505",
    "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": "813-392-7604",
            "fax_number": "484-253-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N NEW BALLAS RD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416835",
            "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": "MEDICAL 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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine DME Solution LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Creve Coeur, MO

Sources for this page

  • 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.