ARIZONA COAST WIDE OPEN MRI, PLLC
NPI 1003113010
Clinic/Center - Radiology in Lake Havasu City, AZ
About Arizona Coast Wide Open Mri, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARIZONA COAST WIDE OPEN MRI, PLLC (NPI 1003113010) is a healthcare organization registered as a radiology in Lake Havasu City, Arizona and active in the NPI registry since February 2011. The organization lists Jack Dunn, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Arizona Coast Wide Open Mri, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Areas of Expertise CMS Part B claims 61
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Arizona Coast Wide Open Mri, PLLC's NPI number?
The NPI number for Arizona Coast Wide Open Mri, PLLC is 1003113010. It was assigned to this organization in the NPPES registry on February 28, 2011.
Where is Arizona Coast Wide Open Mri, PLLC located?
Arizona Coast Wide Open Mri, PLLC is located at 2130 Mesquite Ave Suite 108, Lake Havasu City, AZ 86403. The listed phone number is (602) 943-9200.
What is Arizona Coast Wide Open Mri, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.
Is Arizona Coast Wide Open Mri, PLLC enrolled in Medicare?
Yes. Arizona Coast Wide Open Mri, PLLC is registered in the Medicare PECOS enrollment system.
When is Arizona Coast Wide Open Mri, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Independent Diagnostic Testing Facility (IDTF)) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
What insurance does Arizona Coast Wide Open Mri, PLLC accept?
Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Arizona Coast Wide Open Mri, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Arizona Coast Wide Open Mri, PLLC was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.