ADVANCED LASER & SURGICENTER OF ARIZONA, PC; NPI #1538113238

Contact Information

ADVANCED LASER & SURGICENTER OF ARIZONA, PC

3303 E BASELINE RD
#104
GILBERT, AZ 85234-2739

Phone: 480-632-2020
Fax: 480-632-2121
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for ADVANCED LASER & SURGICENTER OF ARIZONA, PC

NPI Number 1538113238

LBN Legal business name ADVANCED LASER & SURGICENTER OF ARIZONA, PC

Authorized official KIANOUSH KIAN - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/19/2006

Last updated 05/08/2013 - About 13 years ago

Identifiers

AZ	License #	OSC3540
	Other	AZ0209500	BCBS OF AZ
	Other	AZ0209500	TRICARE
AZ	Other	907610	AZ HEALTH CARE COST SYS
AZ	Other	IZ0620	HEALTH NET INS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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