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NPI Code Detail

MEDICARE: PURE IMAGE LASER AND SPA

MEDICARE: PURE IMAGE LASER AND SPA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM2500XMedical Specialty Clinic/Center

General Provider Information

NPI Number : 1750212122
Entity Type Code : Organization
Provider Name (Legal Business Name) : PURE IMAGE LASER AND SPA
Provider Business Mailing Address
First Line : 8350 S EMERSON AVE STE 120
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-8744
Country : US
Telephone Number : 317-820-5288
Fax Number :
Provider Business Practice Location Address
First Line : 8350 S EMERSON AVE STE 120
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-8744
Country : US
Telephone Number : 317-820-5288
Fax Number :
Authorized Official
Title or Position : CO-OWNER
Name : MECHELLE BARRAS
Credential : RN
Telephone Number : 317-730-6300
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “PURE IMAGE LASER AND SPA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.