LASER SPINE SURGERY CENTER OF PENNSYLAVNIA, LLC – NPI #1366675316
Clinic/Center

LASER SPINE SURGERY CENTER OF PENNSYLAVNIA, LLC is an AHC clinic located in WAYNE, PA. NPPES has assigned the NPI number 1366675316 to LASER SPINE SURGERY CENTER OF PENNSYLAVNIA, LLC on August 25, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 9 years ago on Jan 25, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LASER SPINE SURGERY CENTER OF PENNSYLAVNIA, LLC below.

NPI Profile for
LASER SPINE SURGERY CENTER OF PENNSYLAVNIA, LLC

NPI Number
1366675316
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LASER SPINE SURGERY CENTER OF PENNSYLAVNIA, LLC
Primary location
656 E. SWEDESFORD ROAD
SUITE 105
WAYNE, PA 19087
Phone: (215) 845-0566 Fax: (484) 253-1790
Mailing address
5332 AVION PARK DRIVE
TAMPA, FL 33607
Phone: (813) 682-2944 Fax: (484) 253-1790
Organization Subpart
Yes - LASER SPINE SURGERY CENTER OF PENNSYLAVNIA, LLC is subpart of another organization.
Authorized Official
MICHAEL PERRY
MEDICAL DIRECTOR
Phone: (813) 289-9613
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.