Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Laser Spine Institute of Pennsylvania, LLC

Organization Specialist · NPI 1730312786

Laser Spine Institute of Pennsylvania, LLC provides Specialist services in Wayne, Pennsylvania. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

656 E Swedesford Rd Ste 100
Wayne, PA 19087-1606 Not confirmed with CMS for 17 years — call before visiting
Phone: (813) 289-9613
Fax: (813) 418-4112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1730312786
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLaser Spine Institute, LLC
Authorized official Craig Niebur — Chief Financial Officer · (813) 289-9613
NPI enumeratedAugust 25, 2009
Last updated in NPPESAugust 25, 2009
Mailing address656 E Swedesford Rd, Suite 100, Wayne, PA 19087-1606

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