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LAKESHORE INTERVENTIONAL TREATMENT CENTER LLC
NPI 1043701543
Clinic/Center - Pain in Tempe, AZ

Active since May 21, 2018
4765 S LAKESHORE DR, TEMPE, AZ 85282(480) 566-9755 Get Directions Write a Review

NPPES record last updated: February 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2019, Jul 30, 2018, May 21, 2018 (3 updates tracked since 2018).

About Lakeshore Interventional Treatment Center Llc NPPES

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

LAKESHORE INTERVENTIONAL TREATMENT CENTER LLC (NPI 1043701543) is a healthcare organization registered as a pain in Tempe, Arizona and active in the NPI registry since May 2018. The organization lists Shawn Vigneau, Member, as its authorized official.

NPPES Registry Identity

NPI1043701543
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameLAKESHORE INTERVENTIONAL TREATMENT CENTER LLC
Location Address4765 S LAKESHORE DRTempe, AZ 85282
Mailing Address4765 S Lakeshore DrTempe, AZ 85282-7197 · (480) 566-9755
Phone(480) 566-9755
Organization SubpartNo
Authorized OfficialShawn VigneauMember · (480) 556-9755
Enumeration DateMay 21, 2018
Last NPPES UpdateFebruary 4, 20193 updates tracked since enumeration
✔ NPI 1043701543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
Also ListedSurgeryTaxonomy 208600000X
Also ListedClinic/Center · Ambulatory SurgicalTaxonomy 261QA1903X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
4765 S LAKESHORE DR, Tempe, AZ 85282
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ORTHOPAEDIC REGENERATIVE MEDICINE, LLC
Orthopaedic Surgery (Sports Medicine)
4765 S LAKESHORE DR
TEMPE, AZ 85282
Maricopa County (602) 429-0404
MS. TANJA NICOLE MUNDT MA, LPC-S
Counselor (Professional)
4765 S LAKESHORE DR
TEMPE, AZ 85282
Maricopa County (913) 904-8565
UNITY ANESTHESIA SOLUTIONS LLC
Anesthesiology
4765 S LAKESHORE DR
TEMPE, AZ 85282
Maricopa County (480) 930-4018
ARIZONA VALLEY DIAGNOSTICS LLC
Clinic/Center (Multi-Specialty)
4765 S LAKESHORE DR
TEMPE, AZ 85282
Maricopa County (520) 490-8368
DELTA ONE ANESTHESIA ASSOCIATES LLC
Anesthesiology
4765 S LAKESHORE DR
TEMPE, AZ 85282
Maricopa County (602) 603-4077
NEWFOUND HOPE LLC
Community/Behavioral Health
4765 S LAKESHORE DR
TEMPE, AZ 85282
Maricopa County (602) 725-1463
UNITY ANESTHESIA ASSOCIATES LLC
Anesthesiology
4765 S LAKESHORE DR
TEMPE, AZ 85282
Maricopa County (480) 339-2409
NP9 HEALTHCARE LLC
Pain Medicine (Interventional Pain Medicine)
4765 S LAKESHORE DR
TEMPE, AZ 85282
Maricopa County (480) 930-4018

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 Lakeshore Interventional Treatment Center LLC's NPI number?

The NPI number for Lakeshore Interventional Treatment Center LLC is 1043701543. It was assigned to this organization in the NPPES registry on May 21, 2018.

Where is Lakeshore Interventional Treatment Center LLC located?

Lakeshore Interventional Treatment Center LLC is located at 4765 S Lakeshore Dr, Tempe, AZ 85282. The listed phone number is (480) 566-9755.

What is Lakeshore Interventional Treatment Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

When was this NPI record last updated?

The NPPES record for Lakeshore Interventional Treatment Center LLC was last updated on February 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.