LAKESIDE ORTHOPEDIC INSTITUTE LLC NPI 1548936164

NPI Information

NPI: 1548936164
Provider Name: LAKESIDE ORTHOPEDIC INSTITUTE LLC

Doing Business As: LAKESIDE MOBILE IMAGING

Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 505-5555
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LAKESIDE ORTHOPEDIC INSTITUTE LLC is a radiology and mobile clinic center in Lake Havasu City, AZ. LAKESIDE ORTHOPEDIC INSTITUTE LLC NPI is 1548936164. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakeside Mobile Imaging.

The provider's business location address is:

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

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

The enumeration date for this NPI number is 8/23/2021 and was last updated on 6/8/2023.

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	261QR0208X	Clinic/Center	Radiology, Mobile			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: 4/28/2024

NPI Synchronization or Removal

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