Arizona Coast Wide Open Mri, PLLC
NPI 1003113010 · Radiology Clinic/Center · Lake Havasu City, AZ
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Arizona Coast Wide Open Mri, PLLC is a Radiology Clinic/Center organization in Lake Havasu City, AZ (NPI 1003113010).
Provider details
- NPI number
- 1003113010
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jack Dunn, Owner(928) 669-7480
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
3,748 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| X-Ray of Chest, 2 Views71046 | 612 | $32 |
| Dxa Bone Density Measurement of Hip, Pelvis, Spine77080 | 226 | $37 |
| Complete Ultrasound Scan Behind Abdominal Cavity76770 | 200 | $104 |
| Mri Scan of Lower Spinal Canal Without Contrast72148 | 193 | $187 |
| Ct Scan of Chest Without Contrast71250 | 147 | $130 |
| X-Ray of Lower and Sacral Spine, 2-3 Views72100 | 141 | $38 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-02-28
- Last updated
- 2019-03-27
Frequently asked questions
- What is Arizona Coast Wide Open Mri, PLLC's NPI number?
- Arizona Coast Wide Open Mri, PLLC's National Provider Identifier (NPI) is 1003113010, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Arizona Coast Wide Open Mri, PLLC?
- Arizona Coast Wide Open Mri, PLLC is classified in the NPPES registry as Radiology Clinic/Center (Ambulatory Health Care Facilities).
- Where is Arizona Coast Wide Open Mri, PLLC located?
- Arizona Coast Wide Open Mri, PLLC's practice location on file with NPPES is 2130 Mesquite Ave, Lake Havasu City, AZ 86403-6897.
- What is Arizona Coast Wide Open Mri, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Arizona Coast Wide Open Mri, PLLC is (602) 943-9200.
- Does Arizona Coast Wide Open Mri, PLLC accept Medicare?
- Arizona Coast Wide Open Mri, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Arizona Coast Wide Open Mri, PLLC?
- The authorized official listed on Arizona Coast Wide Open Mri, PLLC's NPPES record is Jack Dunn, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Arizona Coast Wide Open Mri, PLLC's NPI active?
- Yes — Arizona Coast Wide Open Mri, PLLC's NPI (1003113010) is active in the NPPES registry as of the last update on 2019-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.