# LASER SPINE SURGERY CENTER OF CINCINNATI

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LSI HOLDCO, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518373810
- **Legal business name:** LSI HOLDCO, LLC
- **Authorized official:** DR. MICHAEL W PERRY MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (813) 289-9613

## Contact information

- **Practice address:** 644 EDEN PARK DR, CINCINNATI, OH 45202-6031
- **Practice address phone:** (513) 906-6956
- **Practice address fax:** (484) 253-1790
- **Mailing address:** 5332 AVION PARK DR, TAMPA, FL 33607-1412
- **Mailing address phone:** (813) 682-2944
- **Mailing address fax:** (484) 253-1790

## Taxonomy

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

## Other

- **Enumeration date:** 07/08/2014
- **Last updated:** 01/12/2017