LAKESIDE ORTHOPEDIC INSTITUTE LLC NPI 1912524380

NPI Information

NPI: 1912524380
Provider Name: LAKESIDE ORTHOPEDIC INSTITUTE, LLC
Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 505-5555
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LAKESIDE ORTHOPEDIC INSTITUTE, LLC is a magnetic resonance imaging (mri) clinic center in Lake Havasu City, AZ. LAKESIDE ORTHOPEDIC INSTITUTE, LLC NPI is 1912524380. The provider is registered as an organization entity type.

The provider's business location address is:

25 RIVIERA BLVD
LAKE HAVASU CITY, AZ
ZIP 86403-694
Phone: (928) 505-5555
Fax: (928) 505-2877

The provider's authorized official is Daniel Edward Heiner .
The authorized official title is Partner and has the following contact phone number (928) 505-5555.

The enumeration date for this NPI number is 7/1/2020 and was last updated on 7/1/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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