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

Lakeside Heart and Vascular Center PLLC

Organization Cardiovascular Disease Physician · NPI 1801194352

Lakeside Heart and Vascular Center PLLC provides Cardiovascular Disease Physician services in Lake Havasu City, Arizona. Licensed in Arizona. Registered with an NPI since 2011.

Licensed in
AZ
In the registry since
2011
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1741 Mesquite Ave Ste A100
Lake Havasu City, AZ 86403-5695 Not confirmed with CMS for 15 years — call before visiting
Phone: (928) 453-2727
Fax: (928) 453-2828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 44211 (AZ)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 44211 (AZ)

Record details

NPI number1801194352
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fadi Atassi — Owner/Member · (928) 453-2727
NPI enumeratedMarch 8, 2011
Last updated in NPPESJuly 20, 2011
Mailing addressPo Box 3539, Lake Havasu City, AZ 86405-3539

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