NPI 1003113010 ARIZONA COAST WIDE OPEN MRI, PLLC PHOENIX AZ. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Arizona Coast Wide Open Mri, Pllc - NPI: 1003113010

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: ARIZONA COAST WIDE OPEN MRI, PLLC
NPI Number: 1003113010
Entity Type Code: Organizational (2)
Authorized Official Name: JACK DUNN
(OWNER)
Mailing Address: 2130 Mesquite Ave Suite 108
Lake Havasu City
State: AZ US
Postal Code: 864036897
Phone Number: 6029439200
Fax Number:
NPI Enumeration Date: 02/28/2011
NPI Last Update Date: 10/02/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261QM1200X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
N
State:
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization: Magnetic Resonance Imaging (MRI)
Taxonomy Definition:


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