Lakeside Heart And Vascular Center Pllc
LBN: Lakeside Heart And Vascular Center Pllc
Lakeside Heart And Vascular Center Pllc is an health care organization with primary practice located at 1741 Mesquite Ave Suite A100, Lake Havasu City AZ 86403-5695. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is the primary health care specialty.
Lakeside Heart And Vascular Center Pllc can be contacted via phone (928) 453-2727, or through Atassi, Fadi via phone (928) 453-2727.
Contact Information
Primary practice address
1741 Mesquite Ave Suite A100
Lake Havasu City AZ 86403-5695
Phone: (928) 453-2727
Fax: (928) 453-2828
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 44211 | Arizona |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 44211 | Arizona |
Profile Details
| NPI number | 1801194352 |
|---|---|
| LBN Legal business name | Lakeside Heart And Vascular Center Pllc |
| DBA Doing business as | |
| Authorized official | Atassi, Fadi Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 8th, 2011 |
| Last updated | Jul 20th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801194352 | NPPES |
| Arizona | Other | P-1663566-8 | ARIZONA CORPORATION COMMISSION FILING NUMBER |
| Arizona | MEDICAID | 604490 | ARIZONA CORPORATION COMMISSION FILING NUMBER |
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