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HAVASU RAINBOW PEDIATRICS NPI 1437340098


NPI Information

NPI: 1437340098
Provider Name: HAVASU RAINBOW PEDIATRICS
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 03D0923274

Address:
1980 MESQUITE AVE STE 101
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 680-1919
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HAVASU RAINBOW PEDIATRICS is a clinic center in Lake Havasu City, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). HAVASU RAINBOW PEDIATRICS NPI is 1437340098. The provider is registered as an organization entity type.

The provider's business location address is:

1980 MESQUITE AVE STE 101
LAKE HAVASU CITY, AZ
ZIP 86403-713
Phone: (928) 680-1919
Fax: (928) 680-0488

The provider's authorized official is Maria B Oyas .
The authorized official title is Administrator and has the following contact phone number (928) 680-1919.

The CLIA number assigned to this NPI record is 03D0923274 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/7/2007 and was last updated on 7/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterARIZONAYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.