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HAVASU REGIONAL MEDICAL CENTER
NPI 1063511962
Dietitian, Registered in Lake Havasu City, AZ

Active since September 21, 2006CLIA Certified · 3 labs
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403(928) 855-8185(928) 505-5768 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 23, 2022, Jul 26, 2019 (2 updates tracked since 2019).

About Havasu Regional Medical Center NPPES

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

HAVASU REGIONAL MEDICAL CENTER (NPI 1063511962) is a healthcare organization registered as a dietitian, registered in Lake Havasu City, Arizona and active in the NPI registry since September 2006. The organization holds 3 active CLIA laboratory certificates and lists Charlotte Lawrence, Secretary, as its authorized official.

NPPES Registry Identity

NPI1063511962
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameHAVASU REGIONAL MEDICAL CENTER LLC
Location Address101 CIVIC CENTER LNLake Havasu City, AZ 86403-5607
Mailing Address330 Seven Springs WayBrentwood, TN 37027-4536 · (615) 920-7000 · Fax (615) 920-8913
Phone(928) 855-8185
Fax(928) 505-5768
Organization SubpartNo
Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7000
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJuly 31, 20232 updates tracked since enumeration
NPPES CertifiedJuly 31, 2023
✔ NPI 1063511962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Also ListedAnesthesiologyTaxonomy 207L00000X
101 CIVIC CENTER LN, Lake Havasu City, AZ 86403
Open in Google Maps ↗

Other Names 1

Doing Business AsHavasu Regional Medical Center

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 3

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 Accreditation 03D0534325

Havasu Regional Medical Center · Lake Havasu City, AZ
Active · expires Aug 16, 2027
CLIA Number03D0534325
Laboratory TypeHospital
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorRyan Swapp
Laboratory Phone(928) 855-8185
Laboratory LocationHavasu Regional Medical Center101 Civic Center Ln, Lake Havasu City, AZ 86403
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 03D2063525

Havasu Regional Medical Center-Cardiac/Pulmonary Rehab · Lake Havasu City, AZ
Active · expires Aug 4, 2027
CLIA Number03D2063525
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorRonald J. Knoblock
Laboratory Phone(928) 855-8185
Laboratory LocationHavasu Regional Medical Center-Cardiac/Pulmonary Rehab1811 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 Waiver 03D2026165

Havasu Regional Medical Center Wound Care Center · Lake Havasu, AZ
Active · expires Jun 23, 2027
CLIA Number03D2026165
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJune 24, 2025
Certificate Expiration DateJune 23, 2027
Laboratory DirectorHarrison Mcdonald
Laboratory Phone(928) 854-0037
Laboratory LocationHavasu Regional Medical Center Wound Care Center1851 Mesquite Ave Suite 102, Lake Havasu, AZ 86403
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

HRMC, LLC
Internal Medicine (Hematology & Oncology)
101 CIVIC CENTER LN
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 453-3761
MARK CHOREBANIAN MD
Internal Medicine
101 CIVIC CENTER LN
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 453-0174
HAVASU EMERGENCY PHYSICIANS, PC
Emergency Medicine
101 CIVIC CENTER LN
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 453-0150
DESERT MEDICAL STAFFING, LLC
Specialist
101 CIVIC CENTER LN, RADIATION-ONCOLOGY BUILDING
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 453-6092
ABBAS MUZAFAR CHEEMA MD
Internal Medicine
101 CIVIC CENTER LN
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 855-8185
ARIZONA COAST RADIOLOGY, PLLC
Radiology (Diagnostic Radiology)
101 CIVIC CENTER LN
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 412-7485
KATALIN H BOLERATZKY MD INC
Anesthesiology
101 CIVIC CENTER LN
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 855-8185
JAMES A STANSBURY MD PC
Anesthesiology
101 CIVIC CENTER LN
LAKE HAVASU CITY, AZ 86403
Mohave County (602) 273-6770

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 Havasu Regional Medical Center LLC's NPI number?

The NPI number for Havasu Regional Medical Center LLC is 1063511962. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as Havasu Regional Medical Center.

Where is Havasu Regional Medical Center LLC located?

Havasu Regional Medical Center LLC is located at 101 Civic Center Ln, Lake Havasu City, AZ 86403. The listed phone number is (928) 855-8185.

What is Havasu Regional Medical Center LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Does Havasu Regional Medical Center LLC hold CLIA laboratory certificates?

Yes. 3 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 Havasu Regional Medical Center LLC was last updated on July 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.