LAKESIDE INTERNAL MEDICINE, PLLC - NPI 1063854420 - Internal Medicine in Sun Lakes, AZ

Q: What is Lakeside Internal Medicine, PLLC's NPI number?

The NPI number for Lakeside Internal Medicine, PLLC is 1063854420. It was assigned to this organization in the NPPES registry on July 25, 2013.

Q: What is Lakeside Internal Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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About Lakeside Internal Medicine, Pllc NPPES

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

LAKESIDE INTERNAL MEDICINE, PLLC (NPI 1063854420) is a healthcare organization registered as an internal medicine in Sun Lakes, Arizona and active in the NPI registry since July 2013. The organization holds a CLIA Waiver certificate valid through July 1, 2027 and lists Philip L Ku, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1063854420

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameLAKESIDE INTERNAL MEDICINE, PLLC

Location Address10450 E RIGGS RD, SUITE 110Sun Lakes, AZ 85248-7757

Mailing Address10450 E Riggs Rd, Suite 110Sun Lakes, AZ 85248-7757 · (480) 895-7600 · Fax (480) 895-7601

Phone(480) 895-7600

Fax(480) 895-7601

Organization SubpartNo

Authorized OfficialPhilip L KuOwner/member · (480) 895-7600

Enumeration DateJuly 25, 2013

Last NPPES UpdateJuly 31, 2013

✔ NPI 1063854420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

10450 E RIGGS RD, Sun Lakes, AZ 85248

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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 SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 03D1101676

Lakeside Internal Medicine, PLLC · Sun Lakes, AZ

Active · expires Jul 1, 2027

CLIA Number03D1101676

Laboratory TypePhysician Office

Certificate Effective DateJuly 2, 2025

Certificate Expiration DateJuly 1, 2027

Laboratory DirectorPhilip L. Ku

Laboratory Phone(480) 895-7600

Laboratory LocationLakeside Internal Medicine, PLLC10450 E Riggs Rd, Ste 110, Sun Lakes, AZ 85248

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

KHATALI HEADACHE AND PAIN TREATMENT CENTER LLC

Anesthesiology (Pain Medicine)

10450 E RIGGS RD, SUITE 102
SUN LAKES, AZ 85248

Maricopa County (480) 626-5634

KHATALI AMBULATORY SURGERY CENTER, LLC

Clinic/Center (Ambulatory Surgical)

10450 E RIGGS RD, SUITE 101
SUN LAKES, AZ 85248

Maricopa County (480) 636-5634

SUN LAKES PERIODONTICS & IMPLANT DENTISTRY, PLLC

Dentist (Periodontics)

10450 E RIGGS RD, SUITE #118
SUN LAKES, AZ 85248

Maricopa County (480) 895-0801

LETAPCO-PROGRESSIVE HOME MEDICAL

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)

10450 E RIGGS RD, SUITE #107
CHANDLER, AZ 85248

Maricopa County (480) 895-1877

DR. JENNIFER L COOL M.D.

Internal Medicine

10450 E RIGGS RD, SUITE 110
SUN LAKES, AZ 85248

Maricopa County (480) 895-7600

ANTHONY MCCALL YOUNG NP-C

Nurse Practitioner (Family)

10450 E RIGGS RD, SUITE 114
SUN LAKES, AZ 85248

Maricopa County (480) 505-2450

SUN LAKES FAMILY PHYSICIANS LLC

Family Medicine

10450 E RIGGS RD, STE 114
SUN LAKES, AZ 85248

Maricopa County (480) 505-2450

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 Internal Medicine, PLLC's NPI number?

The NPI number for Lakeside Internal Medicine, PLLC is 1063854420. It was assigned to this organization in the NPPES registry on July 25, 2013.

Where is Lakeside Internal Medicine, PLLC located?

Lakeside Internal Medicine, PLLC is located at 10450 E Riggs Rd Suite 110, Sun Lakes, AZ 85248. The listed phone number is (480) 895-7600.

What is Lakeside Internal Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Lakeside Internal Medicine, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1101676) is associated with this NPI, valid through July 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lakeside Internal Medicine, PLLC was last updated on July 31, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.