OrganizationActive
Heart Center of Northeastern Arizona, LLC
NPI 1619948130 · Interventional Cardiology Physician · Show Low, AZ
Provider details
- NPI number
- 1619948130
- Entity type
- Organization
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lynda Lange, Npi(928) 532-1970
- License
- OTC3497 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Laboratories
Practice location
2200 E Show Low Lake Rd
Cath Lab
Show Low, AZ 85901-7881
Phone: (928) 532-1970
Fax: (928) 532-1969
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3179
Show Low, AZ 85902-3179
Registry dates
- Enumerated
- 2006-02-01
- Last updated
- 2009-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.