OrganizationActive
Arizona Coast Radiology, PLLC
NPI 1104064997 · Diagnostic Radiology Physician · Lake Havasu City, AZ
Provider details
- NPI number
- 1104064997
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jack Dunn, Member(928) 412-7485
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
101 Civic Center Ln
Lake Havasu City, AZ 86403-5607
Phone: (928) 412-7485
Street-level locationGet directions
Mailing address
2610 Patio Simpatico
Lake Havasu City, AZ 86406-7789
Registry dates
- Enumerated
- 2009-02-02
- Last updated
- 2009-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.