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Arizona Coast Wide Open Mri, Pllc

Radiology Clinic/Center in Lake Havasu City, AZ · enumerated 2011 · authorized official Jack Dunn, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003113010

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Registry record

Entity type Organization (Type 2)
Legal business name Arizona Coast Wide Open Mri, Pllc
Practice address 2130 Mesquite Ave, Suite 108, Lake Havasu City, AZ, 86403
Enumeration date Feb 28, 2011
Last updated in NPPES Mar 27, 2019

Taxonomy & classification

261QM1200X Magnetic Resonance Imaging (MRI) Clinic/Center Ambulatory Health Care Facilities Secondary
261QR0200X Radiology Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Jack Dunn
Title Owner

Other identifiers

Identifier Type State Issuer
605261 Medicaid AZ -
Z146172 Other AZ MEDICARE PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Arizona Coast Wide Open Mri, Pllc?
Arizona Coast Wide Open Mri, Pllc is registered in NPPES as a Radiology Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-03-27.