Overview
Name: LAKESIDE ORTHOPEDIC INSTITUTE, LLC
Specialty: Mobile Radiology Clinic/Center
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities
Classification: Clinic/Center
Specialization: Radiology, Mobile.
Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: LAKESIDE ORTHOPEDIC INSTITUTE, LLC,25 RIVIERA BLVD,LAKE HAVASU CITY,AZ,864035694,US
Mailing Address: LAKESIDE ORTHOPEDIC INSTITUTE, LLC,25 RIVIERA BLVD,LAKE HAVASU CITY,AZ,864035694,US
Contact #
Practice location phone #: 9285055555
Practice location fax #:
Mailing address Phone #: 9285055555
Mailing Address fax #:
Authorized official Name/Telephone #:DANIEL, EDWARD, HEINER, AUTHORIZED OFFICIAL 9285055555
Misc
Date NPI was obtained: 08/23/2021
Last data data was updated: 08/23/2021
Insurances: