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Organization
LAKESIDE ORTHOPEDIC INSTITUTE LLC
Active
Organization
LAKESIDE ORTHOPEDIC INSTITUTE LLC
Active
Other names
Lakeside MRI
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL EDWARD HEINER MD (PARTNER)
(928) 505-5555
Entity
Organization
Contact information
Practice address
25 RIVIERA BLVD, LAKE HAVASU CITY, AZ 86403-5694
(928) 505-5555
(928) 505-2877
Mailing address
25 RIVIERA BLVD, LAKE HAVASU CITY, AZ 86403-5694
(928) 505-5555
(928) 505-2877
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/01/2020
Last updated
01/29/2025
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