LAKESIDE HEART AND VASCULAR CENTER PLLC
NPI 1801194352
Internal Medicine - Interventional Cardiology in Lake Havasu City, AZ
NPI Status: Active since March 08, 2011
Contact Information
1741 MESQUITE AVE
SUITE A100
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 453-2727
Fax: (928) 453-2828
- Organization
- Internal Medicine
- Interventional Cardiology
- Accepts Insurance
- CLIA Number: 03D2212829
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-07-2027
About LAKESIDE HEART AND VASCULAR CENTER PLLC
This page provides the complete NPI Profile along with additional information for Lakeside Heart And Vascular Center Pllc, an internist established in Lake Havasu City, Arizona operating as a Internal Medicine, focusing in interventional cardiology . The healthcare provider is registered in the NPI registry with number 1801194352 assigned on March 2011. The practitioner's primary taxonomy code is 207RI0011X with license number 44211 (AZ). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Fadi Atassi M.d. (Owner/member)
- NPI
- 1801194352
- Provider Name
- LAKESIDE HEART AND VASCULAR CENTER PLLC
- Entity Type
- Organization
- Location Address
- 1741 MESQUITE AVE SUITE A100 LAKE HAVASU CITY, AZ 86403
- Location Phone
- (928) 453-2727
- Location Fax
- (928) 453-2828
- Mailing Address
- PO BOX 3539 LAKE HAVASU CITY, AZ 86405
- Mailing Phone
- (928) 453-2727
- Mailing Fax
- (928) 453-2828
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-08-2011
- Last Update Date
- 07-20-2011
- Code Navigator
An internist like Lakeside Heart And Vascular Center Pllc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Interventional Cardiology
- Taxonomy Code
- 207RI0011X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 44211
- License State
- AZ
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | 44211 (AZ) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z | MEDICARE PIN (08) | AZ | |
| 604490 | MEDICAID (05) | AZ | |
| P-1663566-8 | OTHER (01) | AZ | ARIZONA CORPORATION COMMISSION FILING NUMBER |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2212829
- Facility Type
- Physician Office
- Certificate Effective Date
- February 08, 2025
- Certificate Expiration Date
- February 07, 2027
- Laboratory Director
- FADI ATASSI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lakeside Heart And Vascular Center Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1801194352, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
LAKE HAVASU CITY, AZ 86403
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801194352, enumerated as an "organization" on March 08, 2011.
The provider is located at 1741 MESQUITE AVE SUITE A100 LAKE HAVASU CITY, AZ 86403 and the phone number is (928) 453-2727.
Internal Medicine with taxonomy code 207RI0011X and a focus in Interventional Cardiology.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Medicare. Please consult your insurance carrier or call the provider to verify.
