{"npi":"1841527645","type":"NPI-2","status":"active","name":{"display":"Havasu Lung And Sleep Disorders Center LLC","other":[],"organization_name":"HAVASU LUNG AND SLEEP DISORDERS CENTER LLC","authorised_official":"Heidi Berdin"},"specialty":{"primary_taxonomy":"207RP1001X","primary_taxonomy_description":"Pulmonary Disease Physician","slug":"pulmonary-disease-physician","schema_org_specialty":null,"all":[{"code":"207RC0200X","description":"Critical Care Medicine (Internal Medicine) Physician","primary":false,"state":"AZ","license":"42565"},{"code":"207RS0012X","description":"Sleep Medicine","primary":false,"state":"AZ","license":"42565"},{"code":"207RP1001X","description":"Pulmonary Disease Physician","primary":true,"state":"AZ","license":"42565"}]},"addresses":[{"purpose":"LOCATION","street_1":"1830 MESQUITE AVE","city":"LAKE HAVASU CITY","state":"AZ","postal_code":"864035885","country_code":"US","street_2":"STE C","phone":"9288556966","fax":"9288556974"},{"purpose":"MAILING","street_1":"PO BOX 4559","city":"LAKE HAVASU CITY","state":"AZ","postal_code":"864054559","country_code":"US","phone":"9288556966","fax":"9288556974"}],"license":{"state":"AZ","number":"42565"},"identifiers":[{"type_code":"01","label":"Other","value":"L-1566579-8","state":"AZ","issuer":"CORPORATION NUMBER"},{"type_code":"05","label":"Medicaid","value":"480404","state":"AZ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100204000446","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"AZ","pac_id":"1850434457"}]},"enumeration_date":"2009-11-16","last_updated":"2010-10-25","_meta":{"source":"NPPES","snapshot_date":"2010-10-25","doc_url":"https://findmynpi.com/api"}}