Organization
LASER SPINE SURGERY CENTER OF ST. LOUIS, LLC
Active
Parent organization
LSI HOLDCO, LLC
Other names
Laser Spine Surgery Center of Missouri, 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
450 N NEW BALLAS RD, CREVE COEUR, MO 63141-6835
(314) 930-2693
(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
05/21/2014
Last updated
01/12/2017
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