OPEN AND WIDE MRI LLC – NPI #1235185513
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

OPEN AND WIDE MRI LLC is a radiologist located in GOSHEN, IN. NPPES has assigned the NPI number 1235185513 to OPEN AND WIDE MRI LLC on May 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 2 years ago on Jan 08, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OPEN AND WIDE MRI LLC below.

NPI Profile for
OPEN AND WIDE MRI LLC

NPI Number
1235185513
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OPEN AND WIDE MRI LLC
Primary location
2856 EISENHOWER DR N.
SUITE 1
GOSHEN, IN 46528
Phone: (574) 266-9222 Fax: (574) 266-9333
Mailing address
PO BOX 338
LA FONTAINE, IN 46940-0338
Phone: (765) 228-4660 Fax: (765) 847-4343
Organization Subpart
No
Authorized Official
GARDNER BARTROM
PRESIDENT
Phone: (765) 228-4660
Updated
Certification Date
Jan 08, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.