NPI 1003113010

Arizona Coast Wide Open MRI, PLLC

Organisation Radiology Clinic/Center Lake Havasu City, AZ

Practice location

Address: 2130 Mesquite Ave Suite 108, Lake Havasu City, AZ 86403-6897
Phone: (602) 943-9200
Mailing address: PO Box 39, Overgaard, AZ 85933-0039

Authorised official

Name: Jack Dunn
Title: Owner
Phone: (928) 669-7480

Registered specialties (2)

Radiology Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR0200X

Other Clinic/Center providers in Arizona →

Magnetic Resonance Imaging (MRI) Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM1200X

Registry record

NPI: 1003113010
Entity type: Organization
NPI issued: 28 Feb 2011
Record last updated: 27 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.