National Provider Identifier Database

LAKE HAVASU IMAGING CENTER INC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

LAKE HAVASU IMAGING CENTER INC
1944 MESQUITE AVE
LAKE HAVASU CITY, AZ86403
Phone: 928-505-9729
Fax: 928-505-9200
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Vascular & Interventional Radiology 2085R0204X

* Indicates primary specialty

NPI Profile & details for LAKE HAVASU IMAGING CENTER INC

NPI Number 1710919261
Legal business name
LBN
LAKE HAVASU IMAGING CENTER INC
Authorized official SYLVIA HEINER - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 07/07/2006
Last updated 12/10/2019 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 583729
  • AZ Other: 470000882 RAIL ROAD MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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