Lake Havasu Radiology, PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

LAKE HAVASU RADIOLOGY, PLLC

Practice address

1200 W Mohave Rd
Parker, AZ 85344-6349

Phone

(337) 721-1961

NPI assigned

Jun 2, 2008

Last updated

Jun 2, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vicki Cloud

Title

Billing Manager

Phone

(337) 721-1961

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack D Dunn, M.D.

  • Diagnostic Radiology Physician
  • Lake Havasu City, AZ
  • NPI 1598750820
  NPD (past)
• Francis R McCully Jr., M.D.

  • Diagnostic Radiology Physician
  • Chester Springs, PA
  • NPI 1285628750
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1902065303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1766",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706021766",
            "telephone_number": "337-721-1961",
            "fax_number": "337-721-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W MOHAVE RD",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853446349",
            "telephone_number": "337-721-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE HAVASU RADIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "CLOUD",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "337-721-1961"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Paz Regional Hospital, Inc. (dba La Paz Helathcare Parker Clinic)
• La Paz Regional Hospital, Inc. (La Paz Internal Medicine)
• La Paz Regional Hospital,Inc (La paz Regional Hospital)
• Joanna Laffoon
• Jack Allen Lafountain, RN
• Lakeside Orthopedic Institute, LLC
• Scott Bradley Lamberson, RN
• Alayna Jenene Lapre, RN, RNFA
• Larry E. McEntire, D.D.S., P. C.
• Sean Larsen

• Diagnostic Radiology Physician in Parker, AZ
• Providers in Parker, AZ by specialty
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.