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LAKESIDE ORTHOPEDIC INSTITUTE, LLC
NPI 1023349511
Orthopaedic Surgery in Parker, AZ

Active since January 22, 2010CLIA Certified · 2 labs
1016 S JOSHUA AVE., PARKER, AZ 85344(928) 505-5555(928) 505-2877 Get Directions Write a Review

NPPES record last updated: April 21, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lakeside Orthopedic Institute, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE ORTHOPEDIC INSTITUTE, LLC (NPI 1023349511) is a healthcare organization registered as an orthopaedic surgery in Parker, Arizona and active in the NPI registry since January 2010. The organization holds 2 active CLIA laboratory certificates and lists William F. Binder, Partner/president, as its authorized official.

NPPES Registry Identity

NPI1023349511
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameLAKESIDE ORTHOPEDIC INSTITUTE, LLC
Location Address1016 S JOSHUA AVE.Parker, AZ 85344-5027
Mailing Address25 Riviera BlvdLake Havasu City, AZ 86403-5694 · (928) 505-5555 · Fax (928) 505-2877
Phone(928) 505-5555
Fax(928) 505-2877
Organization SubpartNo
Authorized OfficialWilliam F. BinderPartner/president · (928) 505-5555
Enumeration DateJanuary 22, 2010
Last NPPES UpdateApril 21, 2011
✔ NPI 1023349511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in AZ · 13802✔ Licensed in AZ · 23186✔ Licensed in AZ · 34564✔ Licensed in AZ · 26379
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 0554 (AZ)
1016 S JOSHUA AVE., Parker, AZ 85344
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Other Identifiers 2

Other5924960004AZ · Dmerc Ptan
Medicare PINZ110835AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2319866

Lakeside Orthopedic Inst LLC · Lake Havasu City, AZ
Active · expires Mar 9, 2027
CLIA Number03D2319866
Laboratory TypePractitioner Other
Certificate Effective DateMarch 10, 2025
Certificate Expiration DateMarch 9, 2027
Laboratory DirectorAllison Johnson
Laboratory Phone(928) 505-5555
Laboratory LocationLakeside Orthopedic Inst LLC1944 Mesquite Ave, Lake Havasu City, AZ 86403
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 03D2256625

Lakeside Orthopedic Inst LLC · Lake Havasu City, AZ
Active · expires Dec 18, 2026
CLIA Number03D2256625
Laboratory TypeIndependent
Certificate Effective DateDecember 19, 2024
Certificate Expiration DateDecember 18, 2026
Laboratory DirectorJack Diep
Laboratory Phone(928) 505-5555
Laboratory LocationLakeside Orthopedic Inst LLC1720 Mesquite Ave Ste 100, Lake Havasu City, AZ 86403
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Orthopedic Institute, LLC's NPI number?

The NPI number for Lakeside Orthopedic Institute, LLC is 1023349511. It was assigned to this organization in the NPPES registry on January 22, 2010.

Where is Lakeside Orthopedic Institute, LLC located?

Lakeside Orthopedic Institute, LLC is located at 1016 S Joshua Ave., Parker, AZ 85344. The listed phone number is (928) 505-5555.

What is Lakeside Orthopedic Institute, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Does Lakeside Orthopedic Institute, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Lakeside Orthopedic Institute, LLC was last updated on April 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.