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WIDE OPEN MRI
NPI 1205943636
Physiological Laboratory in Long Beach, CA

Active since August 23, 2006
3715 E SOUTH ST, LONG BEACH, CA 90805(562) 602-0700(562) 602-0727 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Wide Open Mri NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WIDE OPEN MRI (NPI 1205943636) is a healthcare organization registered as a physiological laboratory in Long Beach, California and active in the NPI registry since August 2006. The organization lists Gaelane Rosinski, Contracting/credentialing Specialis, as its authorized official.

NPPES Registry Identity

NPI1205943636
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameMIRACOR DIAGNOSTICS, INC.
Location Address3715 E SOUTH STLong Beach, CA 90805-4521
Mailing Address3715 E South StLong Beach, CA 90805-4521 · (562) 602-0700 · Fax (562) 602-0727
Phone(562) 602-0700
Fax(562) 602-0727
Organization SubpartNo
Authorized OfficialGaelane RosinskiContracting/credentialing Specialis · (847) 658-0996
Enumeration DateAugust 23, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1205943636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
3715 E SOUTH ST, Long Beach, CA 90805
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Other Names 1

Doing Business AsWide Open Mri

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ENVISION HEALTHCARE, INC.
Physiological Laboratory
3715 E SOUTH ST
LONG BEACH, CA 90805
Los Angeles County (562) 602-3070
PETER FOLDVARY MD A PROFESSIONAL CORPORATION
Radiology (Diagnostic Radiology)
3715 E SOUTH ST
LONG BEACH, CA 90805
Los Angeles County (310) 271-3390

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 Miracor Diagnostics, Inc.'s NPI number?

The NPI number for Miracor Diagnostics, Inc. is 1205943636. It was assigned to this organization in the NPPES registry on August 23, 2006. The provider is doing business as Wide Open Mri.

Where is Miracor Diagnostics, Inc. located?

Miracor Diagnostics, Inc. is located at 3715 E South St, Long Beach, CA 90805. The listed phone number is (562) 602-0700.

What is Miracor Diagnostics, Inc.'s specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for Miracor Diagnostics, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.