OPEN AND WIDE MRI, LLC
NPI 1558346148
Radiologic Technologist - Magnetic Resonance Imaging in Elkhart, IN

Active since December 07, 2005
3050 WINDSOR CT, ELKHART, IN 46514(574) 266-9222(574) 266-9333 Get Directions Write a Review

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

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 1558346148) is a healthcare organization registered as a magnetic resonance imaging in Elkhart, Indiana and active in the NPI registry since December 2005. The organization lists Gardner Bartrom, President, as its authorized official.

NPPES Registry Identity

NPI1558346148
Entity TypeOrganization
Primary Taxonomy2471M1202X
Legal Business NameOPEN AND WIDE MRI, LLC
Location Address3050 WINDSOR CTElkhart, IN 46514-5555
Mailing AddressPo Box 338La Fontaine, IN 46940-0338 · (765) 228-4660 · Fax (765) 228-4660
Fax(574) 266-9333
Organization SubpartNo
Authorized OfficialGardner BartromPresident · (765) 228-4660
Enumeration DateDecember 7, 2005
Last NPPES UpdateJanuary 8, 2024
NPPES CertifiedJanuary 8, 2024
NPI 1558346148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiologic Technologist · Magnetic Resonance ImagingTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code2471M1202X
License Licensed in IN · 20590
Definition
A radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam techniques, equipment protocols, radiation safety, and patient care.
3050 WINDSOR CT, Elkhart, IN 46514

Other Identifiers 4

Medicaid1604490821MI
Other000000275391IN · Bcbs
Other14506Php
Medicaid200415560AIN

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

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 1558346148. It was assigned to this organization in the NPPES registry on December 7, 2005.

Where is Open And Wide Mri, LLC located?

Open And Wide Mri, LLC is located at 3050 Windsor Ct, 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 Radiologic Technologist, specializing in Magnetic Resonance Imaging, with taxonomy code 2471M1202X.

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.