Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Heart Center of Northeastern Arizona, LLC

Organization Cardiovascular Disease Physician · NPI 1619948130

Heart Center of Northeastern Arizona, LLC provides Cardiovascular Disease Physician services in Show Low, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2200 E Show Low Lake Rd Cath Lab
Show Low, AZ 85901-7881 Not confirmed with CMS for 17 years — call before visiting
Phone: (928) 532-1970
Fax: (928) 532-1969
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence OTC3497 (AZ)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence OTC3497 (AZ)
Clinical Medical Laboratory Taxonomy 291U00000X · Licence OTC3497 (AZ)

Record details

NPI number1619948130
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynda Lange — Npi · (928) 532-1970
NPI enumeratedFebruary 1, 2006
Last updated in NPPESJune 11, 2009
Mailing addressPo Box 3179, Show Low, AZ 85902-3179

Other providers in Show Low