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INNOVATIVE PRIMARY CARE OF LAKE HAVASU LLC
NPI 1487314878
Clinic/Center - Primary Care in Lake Havasu City, AZ

Active since December 27, 2021CLIA 03D2138594 · Waiver
1945 MESQUITE AVE STE B, LAKE HAVASU CITY, AZ 86403(928) 733-6287(928) 733-6305 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Innovative Primary Care Of Lake Havasu Llc NPPES

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

INNOVATIVE PRIMARY CARE OF LAKE HAVASU LLC (NPI 1487314878) is a healthcare organization registered as a primary care in Lake Havasu City, Arizona and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists Loida L Arquiza, Owner, as its authorized official.

NPPES Registry Identity

NPI1487314878
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameINNOVATIVE PRIMARY CARE OF LAKE HAVASU LLC
Location Address1945 MESQUITE AVE STE BLake Havasu City, AZ 86403-5889
Mailing Address1945 Mesquite Ave Ste BLake Havasu City, AZ 86403-5889 · (928) 733-6287 · Fax (928) 733-6305
Phone(928) 733-6287
Fax(928) 733-6305
Organization SubpartNo
Authorized OfficialLoida L ArquizaOwner · (240) 535-0065
Enumeration DateDecember 27, 2021
NPPES CertifiedDecember 27, 2021
✔ NPI 1487314878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1945 MESQUITE AVE STE B, Lake Havasu City, AZ 86403
Open in Google Maps ↗

Other Names 1

Doing Business AsInnovative Primary Care Of Lake Havasu Llc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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 03D2138594

Innovative Primary Care Of Lake Havasu · Lake Havasu City, AZ
Active · expires Oct 19, 2027
CLIA Number03D2138594
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorLoida Arquiza
Laboratory Phone(928) 733-6287
Laboratory LocationInnovative Primary Care Of Lake Havasu1945 Mesquite Ave, Ste B, Lake Havasu City, AZ 86403
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

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

INNOVATIVE PRIMARY CARE OF HAVASU LLC
Clinic/Center (Primary Care)
1945 MESQUITE AVE STE B
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 733-6287

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 Innovative Primary Care Of Lake Havasu LLC's NPI number?

The NPI number for Innovative Primary Care Of Lake Havasu LLC is 1487314878. It was assigned to this organization in the NPPES registry on December 27, 2021.

Where is Innovative Primary Care Of Lake Havasu LLC located?

Innovative Primary Care Of Lake Havasu LLC is located at 1945 Mesquite Ave Ste B, Lake Havasu City, AZ 86403. The listed phone number is (928) 733-6287.

What is Innovative Primary Care Of Lake Havasu LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Innovative Primary Care Of Lake Havasu LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2138594) is associated with this NPI, valid through October 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Innovative Primary Care Of Lake Havasu LLC accept?

Health plans from Ambetter from Arizona Complete Health list Innovative Primary Care Of Lake Havasu LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Innovative Primary Care Of Lake Havasu LLC was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.