Lakeside Orthopedic Institute LLC
NPI 1548936164 · Mobile Radiology Clinic/Center · Lake Havasu City, AZ
Enrolled with Medicare as Part B Supplier - Portable X-Ray Supplier · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeside Orthopedic Institute LLC is a Mobile Radiology Clinic/Center organization in Lake Havasu City, AZ (NPI 1548936164).
Provider details
- NPI number
- 1548936164
- Entity type
- Organization
- Primary specialty
- Mobile Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Daniel Heiner, Authorized Official(928) 505-5555
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Other names (DBA / former)
- Doing business as
- Lakeside Mobile Imaging
- Doing business as
- Lakeside Mobile Imaging
Registry dates
- Enumerated
- 2021-08-23
- Last updated
- 2026-04-22
- Certified
- 2026-04-22
Frequently asked questions
- What is Lakeside Orthopedic Institute LLC's NPI number?
- Lakeside Orthopedic Institute LLC's National Provider Identifier (NPI) is 1548936164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Orthopedic Institute LLC?
- Lakeside Orthopedic Institute LLC is classified in the NPPES registry as Mobile Radiology Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lakeside Orthopedic Institute LLC located?
- Lakeside Orthopedic Institute LLC's practice location on file with NPPES is 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694.
- What is Lakeside Orthopedic Institute LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Orthopedic Institute LLC is (928) 505-5555.
- Does Lakeside Orthopedic Institute LLC accept Medicare?
- Lakeside Orthopedic Institute LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lakeside Orthopedic Institute LLC?
- The authorized official listed on Lakeside Orthopedic Institute LLC's NPPES record is Daniel Heiner, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Orthopedic Institute LLC's NPI active?
- Yes — Lakeside Orthopedic Institute LLC's NPI (1548936164) is active in the NPPES registry as of the last update on 2026-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.