Arizona Coast Wide Open Mri, Pllc
LBN: Arizona Coast Wide Open Mri, Pllc
Arizona Coast Wide Open Mri, Pllc is an health care organization with primary practice located at 2130 Mesquite Ave Suite 108, Lake Havasu City AZ 86403-6897. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), Ambulatory Health Care Facilities / Radiology. Ambulatory Health Care Facilities / Radiology is the primary health care specialty.
Arizona Coast Wide Open Mri, Pllc can be contacted via phone (602) 943-9200, or through Dunn, Jack via phone (928) 669-7480.
Contact Information
Primary practice address
2130 Mesquite Ave Suite 108
Lake Havasu City AZ 86403-6897
Phone: (602) 943-9200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) | 261QM1200X | ||
| Ambulatory Health Care Facilities / Radiology | 261QR0200X |
Profile Details
| NPI number | 1003113010 |
|---|---|
| LBN Legal business name | Arizona Coast Wide Open Mri, Pllc |
| DBA Doing business as | |
| Authorized official | Dunn, Jack Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 28th, 2011 |
| Last updated | Mar 27th, 2019 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003113010 | NPPES |
| Arizona | MEDICAID | 605261 | |
| Arizona | Other | Z146172 |
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