# LASER SURGERY HOLDING COMPANY, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205303930
- **Authorized official:** VELINA RUELAS (ADMINISTRATOR)
- **Authorized official phone:** (480) 444-7491

## Contact information

- **Practice address:** 1760 E FLORENCE BLVD BLDG 2, CASA GRANDE, AZ 85122-4776
- **Practice address phone:** (480) 444-7491
- **Mailing address:** 10255 N 32ND ST, PHOENIX, AZ 85028-3822
- **Mailing address phone:** (480) 444-7491
- **Mailing address fax:** (602) 682-5164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/31/2018
- **Last updated:** 10/31/2018