# LASER SURGERY HOLDING COMPANY, LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Laser Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467284216
- **Authorized official:** VELINA RUELAS (ADMINISTRATOR)
- **Authorized official phone:** (602) 908-0956

## Contact information

- **Practice address:** 20199 N 67TH AVE, GLENDALE, AZ 85308-7001
- **Practice address phone:** (480) 444-7491
- **Practice address fax:** (480) 908-4079
- **Mailing address:** 2228 W NORTHERN AVE STE B210, PHOENIX, AZ 85021-9336
- **Mailing address phone:** (480) 444-7491
- **Mailing address fax:** (480) 908-4079

## Taxonomy

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

## Other

- **Enumeration date:** 08/19/2024
- **Last updated:** 08/19/2024