Open And Wide Mri, Llc

LBN: Open And Wide Mri, Llc
Open And Wide Mri, Llc is an health care organization with primary practice located at 3050 Windsor Ct , Elkhart IN 46514-5555. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging, which is considered as the primary health care specialty. Open And Wide Mri, Llc can be contacted via phone (574) 266-9222, or through Bartrom, Gardner via phone (765) 228-4660.

Contact Information

Primary practice address
3050 Windsor Ct Elkhart IN 46514-5555
Phone: (574) 266-9222
Fax: (574) 266-9333
Website:
Map and Directions
Authorized official contact:
Name: Bartrom, Gardner
Phone: (765) 228-4660

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging 2471M1202X 20590 Indiana

Profile Details

NPI number 1558346148
LBN Legal business name Open And Wide Mri, Llc
DBA Doing business as
Authorized official Bartrom, Gardner
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2005
Last updated Jan 8th, 2024 - about 11 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558346148 NPPES
Michigan MEDICAID 1604490821
Michigan Other 000000275391
Michigan Other 14506
Michigan MEDICAID 200415560A

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