Lake Havasu Radiology, PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

LAKE HAVASU RADIOLOGY, PLLC

Practice address

101 Civic Center LN
Lake Havasu City, AZ 86403-5607

Phone

(928) 453-6236

Fax

(928) 453-7809

NPI assigned

Aug 9, 2007

Last updated

May 9, 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

Jack D Dunn, MDNPI 1598750820

Title

Managing Member

Phone

(928) 453-0802

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) Authorized official
• 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": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1952592339",
    "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": "101 CIVIC CENTER LN",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035607",
            "telephone_number": "928-453-6236",
            "fax_number": "928-453-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE HAVASU RADIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "928-453-0802",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Havasu Medical Laboratory,LTD.
• Lake Havasu OB-GYN Care LLC
• Lake Havasu OB/GYN, PC
• Lake Havasu Orthodontics LLC
• Lake Havasu Primary Care PLLC
• Lake Havasu Too, LLC (Prestige Assisted Living at Claremont)
• Lake Havasu Unified School Distrct
• Lake Havasu Unified School District #1
• Lake View Terrace Management LLC
• Lake View Terrace Memory Care (LHC Partners LP)

• Diagnostic Radiology Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, 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 May 9, 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.