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
—
—
Other
Enumeration date
07/01/2020
Last updated
01/29/2025
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