LAKESIDE ORTHOPEDIC INSTITUTE LLC
NPI 1548936164
Clinic/Center - Radiology, Mobile in Lake Havasu City, AZ

Active since August 23, 2021
25 RIVIERA BLVD, LAKE HAVASU CITY, AZ 86403(928) 505-5555 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2026, Jun 8, 2023, May 24, 2023 and 1 more (4 updates tracked since 2021).

About Lakeside Orthopedic Institute Llc NPPES

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

LAKESIDE ORTHOPEDIC INSTITUTE LLC (NPI 1548936164), doing business as Lakeside Mobile Imaging, is a healthcare organization registered as a radiology, mobile in Lake Havasu City, Arizona and active in the NPI registry since August 2021. The organization lists Daniel Edward Heiner, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1548936164
Entity TypeOrganization
Primary Taxonomy261QR0208X
Legal Business NameLAKESIDE ORTHOPEDIC INSTITUTE LLC
Location Address25 RIVIERA BLVDLake Havasu City, AZ 86403-5694
Mailing Address25 Riviera BlvdLake Havasu City, AZ 86403-5694 · (928) 505-5555
Organization SubpartNo
Authorized OfficialDaniel Edward HeinerAuthorized Official · (928) 505-5555
Enumeration DateAugust 23, 2021
Last NPPES UpdateApril 22, 20264 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
NPI 1548936164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Radiology, MobileAmbulatory Health Care Facilities
Taxonomy Code261QR0208X
25 RIVIERA BLVD, Lake Havasu City, AZ 86403

Other Names 1

Doing Business AsLakeside Mobile Imaging

Accepted Insurance

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 Surgery
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Physical Therapist
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Anesthesiology (Pain Medicine)
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Specialist/Technologist (Athletic Trainer)
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Podiatrist (Foot & Ankle Surgery)
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Physical Medicine & Rehabilitation
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Orthopaedic Surgery
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Durable Medical Equipment & Medical Supplies
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403

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 Orthopedic Institute LLC's NPI number?

The NPI number for Lakeside Orthopedic Institute LLC is 1548936164. It was assigned to this organization in the NPPES registry on August 23, 2021. The provider is doing business as Lakeside Mobile Imaging.

Where is Lakeside Orthopedic Institute LLC located?

Lakeside Orthopedic Institute LLC is located at 25 Riviera Blvd, Lake Havasu City, AZ 86403. The listed phone number is (928) 505-5555.

What is Lakeside Orthopedic Institute LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, Mobile, with taxonomy code 261QR0208X.

What insurance does Lakeside Orthopedic Institute LLC accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Lakeside Orthopedic Institute 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 Lakeside Orthopedic Institute LLC was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.