LAKE HAVASU IMAGING CENTER INC – NPI #1710919261
Radiology

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

Health Care Provider Taxonomy Code for Radiology

LAKE HAVASU IMAGING CENTER INC is a radiologist located in LAKE HAVASU CITY, AZ. NPPES has assigned the NPI number 1710919261 to LAKE HAVASU IMAGING CENTER INC on July 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 6 years ago on Dec 10, 2019. 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 LAKE HAVASU IMAGING CENTER INC below.

NPI Profile for
LAKE HAVASU IMAGING CENTER INC

NPI Number
1710919261
Enumeration Date

(about 20 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
LAKE HAVASU IMAGING CENTER INC
Primary location
1944 MESQUITE AVE
LAKE HAVASU CITY, AZ 86403
Phone: (928) 505-9729 Fax: (928) 505-9200
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SYLVIA HEINER
OFFICE MANAGER
Phone: (928) 505-9729
Updated
Certification Date
Dec 10, 2019

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.

Identifiers

Identifiers for LAKE HAVASU IMAGING CENTER INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRAIL ROAD MEDICAREAZ470000882
MEDICAIDAZ583729
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
2085R0204X
- Radiology / Vascular & Interventional Radiology

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.