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LASER SPINE & PAIN CENTERS PRADO LLC
NPI 1205431368
Clinic/Center - Ambulatory Surgical in Sandy Springs, GA

Active since December 04, 2020CLIA 11D2169071 · Waiver
5505 ROSWELL RD STE 350B, SANDY SPRINGS, GA 30342(770) 627-7246(404) 393-1611 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laser Spine & Pain Centers Prado Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LASER SPINE & PAIN CENTERS PRADO LLC (NPI 1205431368) is a healthcare organization registered as an ambulatory surgical in Sandy Springs, Georgia and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through July 15, 2027 and lists Vinaya Krishna Puppala, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1205431368
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLASER SPINE & PAIN CENTERS PRADO LLC
Location Address5505 ROSWELL RD STE 350BSandy Springs, GA 30342-1985
Mailing Address403 Permian Way Ste DVilla Rica, GA 30180-3226 · (770) 627-7246 · Fax (404) 393-1611
Phone(770) 627-7246
Fax(404) 393-1611
Organization SubpartNo
Authorized OfficialVinaya Krishna PuppalaChief Executive Officer · (847) 340-7215
Enumeration DateDecember 4, 2020
NPPES CertifiedDecember 4, 2020
✔ NPI 1205431368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
5505 ROSWELL RD STE 350B, Sandy Springs, GA 30342
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CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2169071

Laser Spine & Pain Centers, LLC · Villa Rica, GA
Active · expires Jul 15, 2027
CLIA Number11D2169071
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 16, 2025
Certificate Expiration DateJuly 15, 2027
Laboratory DirectorV K Pupulla
Laboratory Phone(770) 627-7246
Laboratory LocationLaser Spine & Pain Centers, LLC403 Permian Way, Suite C, Villa Rica, GA 30180
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2189017

Laser Spine And Pain Centers Prado, LLC · Atlanta, GA
Expired · Jul 23, 2026
CLIA Number11D2189017
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 24, 2024
Certificate Expiration DateJuly 23, 2026
Laboratory DirectorV K Puppula
Laboratory Phone(770) 627-7246
Laboratory LocationLaser Spine And Pain Centers Prado, LLC5505 Roswell Road Suite 350 #b, Atlanta, GA 30342
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laser Spine & Pain Centers Prado LLC's NPI number?

The NPI number for Laser Spine & Pain Centers Prado LLC is 1205431368. It was assigned to this organization in the NPPES registry on December 4, 2020.

Where is Laser Spine & Pain Centers Prado LLC located?

Laser Spine & Pain Centers Prado LLC is located at 5505 Roswell Rd Ste 350B, Sandy Springs, GA 30342. The listed phone number is (770) 627-7246.

What is Laser Spine & Pain Centers Prado LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Laser Spine & Pain Centers Prado LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2169071) is associated with this NPI, valid through July 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Laser Spine & Pain Centers Prado LLC was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.