AMBULATORY LASER & SURGERY CENTER – NPI #1730360264
Clinic/Center

AMBULATORY LASER & SURGERY CENTER is an AHC clinic located in FOREST PARK, GA. NPPES has assigned the NPI number 1730360264 to AMBULATORY LASER & SURGERY CENTER on November 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AMBULATORY LASER & SURGERY CENTER” is a dba name, the actual legal business name for this organization is AMERICAN FOOT & LEG SPECIALISTS, P.C.. 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 3 years ago on Aug 01, 2023. 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 AMBULATORY LASER & SURGERY CENTER below.

NPI Profile for
AMERICAN FOOT & LEG SPECIALISTS, P.C.

NPI Number
1730360264
Enumeration Date

(more than 18 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
AMERICAN FOOT & LEG SPECIALISTS, P.C.
Doing Business As (dba): AMBULATORY LASER & SURGERY CENTER
Primary location
425 FOREST PKWY STE 103
FOREST PARK, GA 30297
Phone: (404) 363-1087 Fax: (404) 363-9951
Mailing address
425 FOREST PKWY
SUITE 103
FOREST PARK, GA 30297-2185
Phone: (404) 363-1087 Fax: (404) 363-9951
Organization Subpart
Yes - AMBULATORY LASER & SURGERY CENTER is subpart of another organization.
Authorized Official
JEFFREY FLASH
MEDICAL DIRECTOR OF SURGICAL SERV.
Phone: (404) 363-9944
Updated
Certification Date
Aug 01, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AMBULATORY LASER & SURGERY CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidGA997391295A
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)
GA 031-040

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.