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Open and Wide Mri, LLC

Magnetic Resonance Imaging Radiologic Technologist in Elkhart, IN · enumerated 2005 · authorized official Gardner Bartrom, President.

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

National Provider Identifier

1558346148

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Registry record

Entity type Organization (Type 2)
Legal business name Open and Wide Mri, LLC
Practice address 3050 Windsor Ct, Elkhart, IN, 46514
Fax (574) 266-9333
Enumeration date Dec 7, 2005
Last updated in NPPES Jan 8, 2024

Taxonomy & classification

2471M1202X Magnetic Resonance Imaging Radiologic Technologist Technologists, Technicians & Other Technical Service Providers · License 20590 (IN) Primary

Authorized official

Name Gardner Bartrom
Title President

Other identifiers

Identifier Type State Issuer
1604490821 Medicaid MI -
000000275391 Other IN BCBS
14506 Other - PHP
200415560A Medicaid IN -

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.

Read the full guide → Validate an NPI →

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 Open and Wide Mri, LLC?
Open and Wide Mri, LLC is registered in NPPES as a Magnetic Resonance Imaging Radiologic Technologist (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-08.