LAKESIDE ORTHOPEDIC INSTITUTE LLC – NPI #1972373710
Clinic/Center

LAKESIDE ORTHOPEDIC INSTITUTE LLC is an AHC clinic located in LAKE HAVASU CITY, AZ. NPPES has assigned the NPI number 1972373710 to LAKESIDE ORTHOPEDIC INSTITUTE LLC on January 03, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was last updated on Apr 22, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKESIDE ORTHOPEDIC INSTITUTE LLC below.

NPI Profile for
LAKESIDE ORTHOPEDIC INSTITUTE LLC

NPI Number
1972373710
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKESIDE ORTHOPEDIC INSTITUTE LLC
Primary location
1944 MESQUITE AVE
LAKE HAVASU CITY, AZ 86403-5729
Phone: (928) 505-5555 Fax:
Mailing address
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403-5694
Phone: (928) 505-5555 Fax:
Organization Subpart
Yes - LAKESIDE ORTHOPEDIC INSTITUTE LLC is subpart of another organization.
Authorized Official
DANIEL HEINER
MANAGING PARTNER
Phone: (928) 505-5555
Updated
Certification Date
Apr 22, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.