Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MEDICAL LASER CENTER LLC
NPI 1649401563
Clinic/Center - Rural Health in Berea, KY

Q: What is Medical Laser Center LLC's NPI number?

The NPI number for Medical Laser Center LLC is 1649401563. It was assigned to this organization in the NPPES registry on July 28, 2009. The provider is doing business as Rural Family Practice.

Q: What is Medical Laser Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since July 28, 2009CLIA 18D1103639 · Waiver

133 PLAZA DR, SUITE 3, BEREA, KY 40403(859) 986-1370(859) 986-1374 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 13, 2026, Nov 24, 2025 (2 updates tracked since 2025).

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About Medical Laser Center Llc NPPES

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

MEDICAL LASER CENTER LLC (NPI 1649401563), doing business as Rural Family Practice, is a healthcare organization registered as a rural health in Berea, Kentucky and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through August 4, 2027 and lists Nawar Soda, Owner, as its authorized official.

NPPES Registry Identity

NPI1649401563

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameMEDICAL LASER CENTER LLC

Location Address133 PLAZA DR, SUITE 3Berea, KY 40403-2087

Mailing Address133 Plaza Dr, Suite 3Berea, KY 40403-2087 · (859) 986-1370 · Fax (859) 986-1374

Phone(859) 986-1370

Fax(859) 986-1374

Organization SubpartNo

Authorized OfficialNawar SodaOwner · (859) 986-1370

Enumeration DateJuly 28, 2009

Last NPPES UpdateAugust 13, 20262 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1649401563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

133 PLAZA DR, Berea, KY 40403

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Other Names 1

Doing Business AsRural Family Practice

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 18D1103639

Medical Laser Center · Berea, KY

Active · expires Aug 4, 2027

CLIA Number18D1103639

Laboratory TypePhysician Office

Certificate Effective DateAugust 5, 2025

Certificate Expiration DateAugust 4, 2027

Laboratory DirectorDr. Nawar Soda

Laboratory Phone(859) 986-1370

Laboratory LocationMedical Laser Center133 Plaza Dr #3, Berea, KY 40403

CLIA data matches this NPI record on: Address Name 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 Medical Laser Center LLC's NPI number?

The NPI number for Medical Laser Center LLC is 1649401563. It was assigned to this organization in the NPPES registry on July 28, 2009. The provider is doing business as Rural Family Practice.

Where is Medical Laser Center LLC located?

Medical Laser Center LLC is located at 133 Plaza Dr Suite 3, Berea, KY 40403. The listed phone number is (859) 986-1370.

What is Medical Laser Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Medical Laser Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D1103639) is associated with this NPI, valid through August 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medical Laser Center LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Medical Laser Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medical Laser Center LLC was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.