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Organization
OPEN MRI OF FORT WORTH, L.C.
Active
Organization
OPEN MRI OF FORT WORTH, L.C.
Active
Other names
Nydic Open MRI of America-Fort Worth
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE M. BUCHWALTER (CEO)
(201) 573-8080
Entity
Organization
Contact information
Practice address
6500 WEST FWY, STE 104, FORT WORTH, TX 76116-2139
(817) 763-5900
(817) 763-5858
Mailing address
100 PARAGON DR, STE 200, MONTVALE, NJ 07645-1718
(201) 573-8080
(201) 775-4306
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026DC
BCBS OF TEXAS
TX
01
—
0726397
AMERIHEALTH
TX
01
—
10013077
AMERIGROUP
TX
01
—
16-14029
UNITED HEALTHCARE OF TX
TX
01
—
2030111
AETNA US HEALTHCARE
TX
01
—
25504
NYLCARE HEALTH PLANS
TX
01
—
3650
MEDFOCUS
TX
01
—
825242
HEALTHSMART PREFERRED CAR
TX
01
—
A-67817
MULTIPLAN
TX
Enumeration date
05/24/2005
Last updated
09/11/2025
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