MOHAVE MEDICAL IMAGING CENTER (NPI# 1770504870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770504870 |
| Entity Type | Organization |
| Organization Name | MOHAVE MEDICAL IMAGING CENTER |
| Practice Address |
1851 Mesquite Ave Suite 112 Lake Havasu City AZ 86403-5677 |
| Practice Telephone | 9285054661 |
| Practice Fax Number | 9285054699 |
| Mailing Telephone | 9285054661 |
| Mailing Fax Number | 9285054699 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SAADEH SAADEH (PRESIDENT) |
| Authorized Official Telephone | 9285054661 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
1851 MESQUITE AVE SUITE 112 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-5677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881041200 | Haylee Younis | Nurse Practitioner | 1851 Mesquite Ave, Suite 106, Lake Havasu City, AZ 86403-5677 | 2016-05-16 |
| 1891155974 | Hrmc, LLC | Dietitian, Registered | 1851 Mesquite Ave, Suite 202, Lake Havasu City, AZ 86403-5677 | 2016-03-02 |
| 1447630538 | Hrmc, LLC | Internal Medicine | 1851 Mesquite Ave, Suite 210, Lake Havasu City, AZ 86403-5677 | 2015-06-03 |
| 1811397748 | Akdhc, LLC | Internal Medicine | 1851 Mesquite Ave, Suite 216, Lake Havasu City, AZ 86403-5677 | 2014-08-28 |
| 1033435599 | Harrison Mark Mcdonald Do Pllc | Internal Medicine | 1851 Mesquite Ave, Suite 106, Lake Havasu City, AZ 86403-5677 | 2010-04-08 |
| 1104152768 | Cardiac and Vascular Associates LLC | Internal Medicine | 1851 Mesquite Ave, Suite 202, Lake Havasu City, AZ 86403-5677 | 2009-11-02 |
| 1255560884 | Khizer Salim Shaikh | Internal Medicine | 1851 Mesquite Ave, Suite 210, Lake Havasu City, AZ 86403-5677 | 2009-07-02 |
| 1437385192 | Arrow Perfusion Services LLC | Perfusionist | 1851 Mesquite Ave, Suite 202, Lake Havasu City, AZ 86403-5677 | 2009-06-08 |
| 1427283092 | Western Arizona Cardiovascular Surgery Pllc | Surgery | 1851 Mesquite Ave, Suite 202, Lake Havasu City, AZ 86403-5677 | 2009-05-26 |
| 1245343482 | Phc-lake Havasu Inc | Home Health | 1851 Mesquite Ave, Ste. 206, Lake Havasu City, AZ 86403-5677 | 2006-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952803652 | Comfort Care Providers, LLC. | Physiological Laboratory | 555 E Plaza Cir Dr Ste C, Litchfield Park, AZ 85340 | 2018-03-08 |
| 1518472950 | Tri-state Medical Alliance, LLC | Physiological Laboratory | 1510 E Wagon Wheel Ln Ste 103, Fort Mohave, AZ 86426-6698 | 2017-12-07 |
| 1659793180 | Dermspectra, LLC | Physiological Laboratory | 2601 N Campbell Ave, Suite 205, Tucson, AZ 85719-3163 | 2014-01-17 |
| 1871921189 | Omniwest, LLC | Physiological Laboratory | 4647 E Laredo Ln, Cave Creek, AZ 85331-5062 | 2013-10-23 |
| 1386963924 | Insight Health Corp. | Physiological Laboratory | 10249 W. Thunderbird Rd, Suite 200, Sun City, AZ 85351 | 2010-05-21 |
| 1932435526 | Insight Health Corp. | Physiological Laboratory | 5040 N. 15th Ave., Suite 101, Phoenix, AZ 85015-3328 | 2009-11-02 |
| 1740478072 | Az Neuromonitoring LLC | Physiological Laboratory | 10105 E Via Linda, Ste 103-274, Scottsdale, AZ 85258-5311 | 2007-10-11 |
| 1598891582 | Health Care Imaging Inc | Physiological Laboratory | 202 E Earll Dr Ste 190, Phoenix, AZ 85012 | 2007-02-26 |
| 1609834159 | Sunrise Medical Diagnostic, Inc | Physiological Laboratory | 12611 N 103rd Ave, Ste # G, Sun City, AZ 85351-3422 | 2006-05-03 |
| 1659330710 | Insight Health Corp | Physiological Laboratory | 2921 N 18th Pl, Phoenix, AZ 85016-7705 | 2006-03-18 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.