Organization
LASER SPINE SURGERY CENTER OF CINCINNATI
Active
Parent organization
LSI HOLDCO, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LSI HOLDCO, LLC
Authorized official
DR. MICHAEL W PERRY MD (MEDICAL DIRECTOR)
(813) 289-9613
Entity
Organization
Contact information
Practice address
644 EDEN PARK DR, CINCINNATI, OH 45202-6031
(513) 906-6956
(484) 253-1790
Mailing address
5332 AVION PARK DR, TAMPA, FL 33607-1412
(813) 682-2944
(484) 253-1790
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2014
Last updated
01/12/2017
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