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

Lakeside Orthopedic Institute LLC

Organization Diagnostic Radiology Physician · NPI 1528870243

Lakeside Orthopedic Institute LLC is a Diagnostic Radiology Physician in Lake Havasu City, Arizona. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1944 Mesquite Ave
Lake Havasu City, AZ 86403-5729
Phone: (928) 505-5555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1528870243
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Heiner — Md/Partner · (928) 505-5555
Other names Lakeside Ct
NPI enumeratedJanuary 21, 2025
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025
Mailing address25 Riviera Blvd, Lake Havasu City, AZ 86403-5694

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