OrganizationActive
Lakeside Orthopedic Institute LLC
NPI 1912524380 · Magnetic Resonance Imaging (MRI) Clinic/Center · Lake Havasu City, AZ
Provider details
- NPI number
- 1912524380
- Entity type
- Organization
- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Daniel Heiner, Partner(928) 505-5555
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
25 Riviera Blvd
Lake Havasu City, AZ 86403-5694
Phone: (928) 505-5555
Fax: (928) 505-2877
Street-level locationGet directions
Mailing address
25 Riviera Blvd
Lake Havasu City, AZ 86403-5694
Other names (DBA / former)
- Doing business as
- Lakeside Mri
Registry dates
- Enumerated
- 2020-07-01
- Last updated
- 2025-01-29
- Certified
- 2025-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.