Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

HAVASU RAINBOW PEDIATRICS AND ASSOCIATES PLLC
NPI 1528973534
Nurse Practitioner - Pediatrics in Lake Havasu City, AZ

Q: What is Havasu Rainbow Pediatrics And Associates PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since August 14, 2026CLIA 03D2349418 · Waiver

150 RIVIERA DR, LAKE HAVASU CITY, AZ 86403(928) 540-5437(928) 540-5438 Get Directions Write a Review

NPPES record added: August 14, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Havasu Rainbow Pediatrics And Associates Pllc NPPES

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

HAVASU RAINBOW PEDIATRICS AND ASSOCIATES PLLC (NPI 1528973534) is a healthcare organization registered as a pediatrics in Lake Havasu City, Arizona and active in the NPI registry since August 2026. The organization holds a CLIA Waiver certificate valid through August 19, 2028 and lists Mary Renee Golden, Member Manager, as its authorized official.

NPPES Registry Identity

NPI1528973534

Entity TypeOrganization

Primary Taxonomy363LP0200X

Legal Business NameHAVASU RAINBOW PEDIATRICS AND ASSOCIATES PLLC

Location Address150 RIVIERA DRLake Havasu City, AZ 86403-5735

Mailing Address150 Riviera DrLake Havasu City, AZ 86403-5735 · (928) 540-5437 · Fax (928) 540-5438

Phone(928) 540-5437

Fax(928) 540-5438

Organization SubpartNo

Authorized OfficialMary Renee GoldenMember Manager · (317) 414-5202

Enumeration DateAugust 14, 2026

NPPES CertifiedAugust 14, 2026

✔ NPI 1528973534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Also ListedPediatricsTaxonomy 208000000X

150 RIVIERA DR, Lake Havasu City, AZ 86403

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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

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 03D2349418

Havasu Rainbow Pediatrics & Associates, PLLC · Lake Havasu City, AZ

Active · expires Aug 19, 2028

CLIA Number03D2349418

Laboratory TypePhysician Office

Certificate Effective DateAugust 20, 2026

Certificate Expiration DateAugust 19, 2028

Laboratory DirectorMary R. Golden

Laboratory Phone(928) 540-5437

Laboratory LocationHavasu Rainbow Pediatrics & Associates, PLLC150 Riviera Dr, Lake Havasu City, AZ 86403

CLIA data matches this NPI record on: Address 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.

EDWARD J QUINN MD

Internal Medicine (Cardiovascular Disease)

150 RIVIERA DR
LAKE HAVASU CITY, AZ 86403

Mohave County (928) 855-5090

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 Rainbow Pediatrics And Associates PLLC's NPI number?

The NPI number for Havasu Rainbow Pediatrics And Associates PLLC is 1528973534. It was assigned to this organization in the NPPES registry on August 14, 2026.

Where is Havasu Rainbow Pediatrics And Associates PLLC located?

Havasu Rainbow Pediatrics And Associates PLLC is located at 150 Riviera Dr, Lake Havasu City, AZ 86403. The listed phone number is (928) 540-5437.

What is Havasu Rainbow Pediatrics And Associates PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Does Havasu Rainbow Pediatrics And Associates PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2349418) is associated with this NPI, valid through August 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Havasu Rainbow Pediatrics And Associates PLLC was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.