# OPEN MRI OF FORT WORTH, L.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Nydic Open MRI of America-Fort Worth
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033112834
- **Authorized official:** LAWRENCE M. BUCHWALTER (CEO)
- **Authorized official phone:** (201) 573-8080

## Contact information

- **Practice address:** 6500 WEST FWY, STE 104, FORT WORTH, TX 76116-2139
- **Practice address phone:** (817) 763-5900
- **Practice address fax:** (817) 763-5858
- **Mailing address:** 100 PARAGON DR, STE 200, MONTVALE, NJ 07645-1718
- **Mailing address phone:** (201) 573-8080
- **Mailing address fax:** (201) 775-4306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | — | — |
| 261QR0200X | Radiology Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 09/11/2025

## 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 |