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MEDICAL LASER SERVICES, LLC
NPI 1669589669
Specialist in Portland, ME

Active since August 24, 2006CLIA 20D2208190 · Waiver
1375 CONGRESS ST, PORTLAND, ME 04102(207) 761-0177 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Medical Laser Services, Llc NPPES

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

MEDICAL LASER SERVICES, LLC (NPI 1669589669) is a healthcare organization registered as a specialist in Portland, Maine and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through January 4, 2027 and lists Becky Hagar, Practdice Manger, as its authorized official.

NPPES Registry Identity

NPI1669589669
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMEDICAL LASER SERVICES, LLC
Location Address1375 CONGRESS STPortland, ME 04102-2118
Mailing Address1375 Congress StPortland, ME 04102-2118 · (207) 761-0177
Phone(207) 761-0177
Organization SubpartNo
Authorized OfficialBecky HagarPractdice Manger · (207) 761-0177
Enumeration DateAugust 24, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1669589669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1375 CONGRESS ST, Portland, ME 04102
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Other Identifiers 1

OtherWE DO NOT PARTICIPATME · We Do Not Participate

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

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 20D2208190

Medical Laser Services, LLC · Portland, ME
Active · expires Jan 4, 2027
CLIA Number20D2208190
Laboratory TypePhysician Office
Certificate Effective DateJanuary 5, 2025
Certificate Expiration DateJanuary 4, 2027
Laboratory DirectorMaria A. Atkins
Laboratory Phone(207) 761-0177
Laboratory LocationMedical Laser Services, LLC1945 Congress St, Portland, ME 04102
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL J. BEDECS D.O.
Family Medicine
1375 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 409-8500
MARIA A ATKINS D.O.
Family Medicine
1375 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 761-0177
ADVANCED WOUND CARE CENTER, LLC
Specialist
1375 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 761-0177
ROBERT KLOTZ PA
Physician Assistant
1375 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 772-4203

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 Services, LLC's NPI number?

The NPI number for Medical Laser Services, LLC is 1669589669. It was assigned to this organization in the NPPES registry on August 24, 2006.

Where is Medical Laser Services, LLC located?

Medical Laser Services, LLC is located at 1375 Congress St, Portland, ME 04102. The listed phone number is (207) 761-0177.

What is Medical Laser Services, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Medical Laser Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2208190) is associated with this NPI, valid through January 4, 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 Medical Laser Services, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.