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LAKE HAVASU IMAGING CENTER INC NPI 1710919261


NPI Information

NPI: 1710919261
Provider Name: LAKE HAVASU IMAGING CENTER INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1944 MESQUITE AVE
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 505-9729
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LAKE HAVASU IMAGING CENTER INC is a diagnostic radiology radiology in Lake Havasu City, AZ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. LAKE HAVASU IMAGING CENTER INC NPI is 1710919261. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1944 MESQUITE AVE
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 505-9729
Fax: (928) 505-9200

The provider's authorized official is Sylvia Heiner .
The authorized official title is Office Manager and has the following contact phone number (928) 505-9729.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 12/10/2019.


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
12085R0202XRadiologyDiagnostic RadiologyYes
22085R0204XRadiologyVascular & Interventional RadiologyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1470000882OTHERARIZONARAIL ROAD MEDICARE
2583729MEDICAIDARIZONA

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.