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OPEN AND WIDE MRI LLC
NPI 1306883616
Radiology - Diagnostic Radiology in Elkhart, IN

Active since June 02, 2006
3050 WINDSOR COURT, ELKHART, IN 46514(574) 266-9222 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2021, Apr 17, 2020 (2 updates tracked since 2020).

About Open And Wide Mri Llc NPPES

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

OPEN AND WIDE MRI LLC (NPI 1306883616) is a healthcare organization registered as a diagnostic radiology in Elkhart, Indiana and active in the NPI registry since June 2006. The organization lists Gardner Bartrom, President, as its authorized official.

NPPES Registry Identity

NPI1306883616
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameOPEN AND WIDE MRI LLC
Location Address3050 WINDSOR COURTElkhart, IN 46514-5555
Mailing AddressPo Box 338La Fontaine, IN 46940-0338 · (765) 228-4660
Phone(574) 266-9222
Organization SubpartNo
Authorized OfficialGardner BartromPresident · (765) 228-4660
Enumeration DateJune 2, 2006
Last NPPES UpdateJanuary 8, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2024
✔ NPI 1306883616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3050 WINDSOR COURT, Elkhart, IN 46514
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Other Identifiers 2

Medicaid200415560IN
OtherCK6657IN · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 Open And Wide Mri LLC's NPI number?

The NPI number for Open And Wide Mri LLC is 1306883616. It was assigned to this organization in the NPPES registry on June 2, 2006.

Where is Open And Wide Mri LLC located?

Open And Wide Mri LLC is located at 3050 Windsor Court, Elkhart, IN 46514. The listed phone number is (574) 266-9222.

What is Open And Wide Mri LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

What insurance does Open And Wide Mri LLC accept?

Health plans from CareSource list Open And Wide Mri LLC 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 Open And Wide Mri LLC was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.