institution
Arizona Coast Wide Open Mri, Pllc
Radiology Clinic/Center in Lake Havasu City, Arizona
NPI 1003113010

Arizona Coast Wide Open Mri, Pllc is a Radiology Clinic/Center based in Overgaard, AZ and is specialized in Radiology. Arizona Coast Wide Open Mri, Pllc practices in Lake Havasu City, AZ. The NPI Number for Arizona Coast Wide Open Mri, Pllc is 1003113010 and holds a License No. (Arizona).

The current practice location address for Arizona Coast Wide Open Mri, Pllc is 2130 Mesquite Ave, Lake Havasu City, AZ and can be reached out via phone at 602-943-9200. You can also correspond with Arizona Coast Wide Open Mri, Pllc through the mailing address at PO BOX 39, OVERGAARD, AZ - 85933-0039 (mailing address contact number: 928-535-6667).

Location: 2130 Mesquite Ave, Lake Havasu City, AZ, 85933-0039
institution
Provider Profile Details
NPI Number
1003113010
Provider Name
Arizona Coast Wide Open Mri, Pllc
Credential
Provider Entity Type
Organization
Address
2130 Mesquite Ave, Lake Havasu City, AZ, 85933-0039
Phone Number
602-943-9200
Fax Number
Provider Enumeration Date
02/28/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
605261 05 AZ
Z146172 01 AZ MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
2130 Mesquite Ave
City
State
Zip
86403-6897
Phone Number
602-943-9200
Fax Number
person
Provider Business Mailing Address Details
Address
2130 Mesquite Ave
City
State
Zip
86403-6897
Phone Number
602-943-9200
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Magnetic Resonance Imaging (MRI)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
License No.
()
Definition
Definition to come...
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