Organization · Type 2 NPI

Arizona Coast Wide Open Mri, PLLC

Radiology Clinic/Center · Lake Havasu City, AZ

NPI number 1003113010 Active

Practice location

2130 Mesquite Ave, Suite 108
Lake Havasu City, AZ 86403-6897

Mailing address

PO Box 39
Overgaard, AZ 85933-0039

Specialties and licenses

TaxonomyCodeLicense
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200XNone listed
Radiology Clinic/Center Primary 261QR0200XNone listed

Radiology Clinic/Center: Definition to come...

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About NPI 1003113010

Arizona Coast Wide Open Mri, PLLC's National Provider Identifier is 1003113010, issued on Feb 28, 2011. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Mar 27, 2019.