institution
Open And Wide Mri, Llc
Magnetic Resonance Imaging Radiologic Technologist in Elkhart, Indiana
NPI 1558346148

Open And Wide Mri, Llc is a Magnetic Resonance Imaging Radiologic Technologist based in La Fontaine, IN and is specialized in Magnetic Resonance Imaging. Open And Wide Mri, Llc practices in Elkhart, IN. The NPI Number for Open And Wide Mri, Llc is 1558346148 and holds a License No. 20590 (Indiana).

The current practice location address for Open And Wide Mri, Llc is 3050 Windsor Ct, Elkhart, IN and can be reached out via phone at 574-266-9222 and via fax at 574-266-9333.

Location: 3050 Windsor Ct, Elkhart, IN, 46940-0338
institution
Provider Profile Details
NPI Number
1558346148
Provider Name
Open And Wide Mri, Llc
Credential
Provider Entity Type
Organization
Address
3050 Windsor Ct, Elkhart, IN, 46940-0338
Phone Number
574-266-9222
Fax Number
574-266-9333
Provider Enumeration Date
12/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1604490821 05 MI
000000275391 01 IN BCBS
14506 01 PHP
200415560A 05 IN
institution
Provider Business Practice Location Address Details
Address
3050 Windsor Ct
City
State
Zip
46514-5555
Phone Number
574-266-9222
Fax Number
574-266-9333
person
Provider Business Mailing Address Details
Address
3050 Windsor Ct
City
State
Zip
46514-5555
Phone Number
574-266-9222
Fax Number
574-266-9333
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Magnetic Resonance Imaging
Taxonomy
License No.
20590 (Indiana)
Definition
Definition to come...
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