Organization Active NPI

Laser Surgery Holding Company, LTD

  • Ambulatory Surgical Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1851531248
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
OSC4560 Issued in AZ
Legal business name
LASER SURGERY HOLDING COMPANY, LTD
Practice address
10255 N 32ND St
Phoenix, AZ 85028-3851
Phone
(602) 258-7003
Fax
(602) 254-3474
NPI assigned
Feb 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Peter Thomas, M.D.
Title
Medical Director
Phone
(602) 258-7003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X OSC4560 AZ Primary

Addresses

Primary practice location

10255 N 32ND St
Phoenix, AZ 85028-3851

Mailing address

10255 N 32ND St
Phoenix, AZ 85028-3851
Phone (602) 258-7003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090424000492 AZ Part B Supplier - Ambulatory Surgical Center 8628126950 Practice locations: Phoenix, AZ

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Laser Surgery Holding Company LTDCCN 03C0001322
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

10255 N 32nd St
Phoenix, AZ 85028
Phone (602) 258-7003

2000 E Southern Ave
Tempe, AZ 85282
Phone (480) 444-7491

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1851531248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10255 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283851",
            "telephone_number": "602-258-7003",
            "fax_number": "602-254-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10255 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283851",
            "telephone_number": "602-258-7003",
            "fax_number": "602-254-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER SURGERY HOLDING COMPANY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "602-258-7003",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC4560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.