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LAKESIDE ORTHOPEDIC INSTITUTE LLC
NPI 1750124368
Durable Medical Equipment & Medical Supplies in Lake Havasu City, AZ

Active since June 13, 2024
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 13, 2024 (2 updates tracked since 2024).

About Lakeside Orthopedic Institute Llc NPPES

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

LAKESIDE ORTHOPEDIC INSTITUTE LLC (NPI 1750124368) is a healthcare organization registered as a durable medical equipment & medical supplies in Lake Havasu City, Arizona and active in the NPI registry since June 2024. The organization lists Daniel Edward Heiner, Ao, as its authorized official.

NPPES Registry Identity

NPI1750124368
Entity TypeOrganization
Primary Taxonomy332B00000X
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
Phone(928) 505-5555
Organization SubpartNo
Authorized OfficialDaniel Edward HeinerAo · (928) 505-5555
Enumeration DateJune 13, 2024
Last NPPES UpdateApril 22, 20262 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1750124368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
25 RIVIERA BLVD, Lake Havasu City, AZ 86403
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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.

WILLIAM F BINDER M.D
Orthopaedic Surgery
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 505-5555
ANITA GAIL MARTIN LPT
Physical Therapist
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 505-5555
DR. SELAIMAN NOORI MD
Anesthesiology (Pain Medicine)
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 505-7246
LAKESIDE PHYSICAL THERAPY, REHAB & SPORTS MEDICINE
Specialist/Technologist (Athletic Trainer)
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 505-5555
RONALD BERNARD KILLIAN DPM
Podiatrist (Foot & Ankle Surgery)
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 505-5555
LAKESIDE ORTHOPEDIC INSTITUTE LLC
Clinic/Center (Radiology, Mobile)
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 505-5555
DEREK M BURNETT MD
Physical Medicine & Rehabilitation
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 505-5555
LAKESIDE ORTHOPEDIC INSTITUTE LLC
Orthopaedic Surgery
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 505-5555

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 1750124368. It was assigned to this organization in the NPPES registry on June 13, 2024.

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 Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

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.