Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeside Heart and Vascular Center PLLC

Organization Cardiovascular Disease Physician · NPI 1801194352

Lakeside Heart and Vascular Center PLLC is a Cardiovascular Disease Physician in Lake Havasu City, Arizona. Licensed in Arizona. Registered with an NPI since 2011.

Licensed in
AZ
In the registry since
2011
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1741 Mesquite Ave Ste A100
Lake Havasu City, AZ 86403-5695
Phone: (928) 453-2727
Fax: (928) 453-2828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 44211 (AZ)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 44211 (AZ)

Record details

NPI number1801194352
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fadi Atassi — Owner/Member · (928) 453-2727
NPI enumeratedMarch 8, 2011
Last updated in NPPESJuly 20, 2011
Mailing addressPo Box 3539, Lake Havasu City, AZ 86405-3539

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