HEART CENTER OF NORTHEASTERN ARIZONA, LLC
NPI 1619948130
Internal Medicine - Interventional Cardiology in Show Low, AZ

Q: What is Heart Center Of Northeastern Arizona, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Active since February 01, 2006

2200 E SHOW LOW LAKE RD, CATH LAB, SHOW LOW, AZ 85901(928) 532-1970(928) 532-1969 Get Directions Write a Review

NPPES record last updated: June 11, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Heart Center Of Northeastern Arizona, Llc NPPES

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

HEART CENTER OF NORTHEASTERN ARIZONA, LLC (NPI 1619948130) is a healthcare organization registered as an interventional cardiology in Show Low, Arizona and active in the NPI registry since February 2006. The organization lists Lynda Lange, Npi, as its authorized official.

NPPES Registry Identity

NPI1619948130

Entity TypeOrganization

Primary Taxonomy207RI0011X

Legal Business NameHEART CENTER OF NORTHEASTERN ARIZONA, LLC

Location Address2200 E SHOW LOW LAKE RD, CATH LABShow Low, AZ 85901-7881

Mailing AddressPo Box 3179Show Low, AZ 85902-3179 · (928) 532-0600 · Fax (928) 532-0550

Phone(928) 532-1970

Fax(928) 532-1969

Organization SubpartNo

Authorized OfficialLynda LangeNpi · (928) 532-1970

Enumeration DateFebruary 1, 2006

Last NPPES UpdateJune 11, 2009

✔ NPI 1619948130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in AZ · OTC3497

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License OTC3497 (AZ)

Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License OTC3497 (AZ)

2200 E SHOW LOW LAKE RD, Show Low, AZ 85901

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Other Identifiers 2

Medicaid848707AZ

Medicare PINZ73532AZ

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

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.

FANCY ANESTHESIA SERVICES INC

Nurse Anesthetist, Certified Registered