# ADVANCED OPEN MRI, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225121916
- **Authorized official:** MICHAEL D DEWALD MD (MANAGER)
- **Authorized official phone:** (402) 484-4475

## Contact information

- **Practice address:** 7601 PIONEERS BOULEVARD, LINCOLN, NE 68506
- **Practice address phone:** (402) 484-4475
- **Practice address fax:** (402) 484-4476
- **Mailing address:** 7601 PIONEERS BOULEVARD, LINCOLN, NE 68506
- **Mailing address phone:** (402) 484-4475
- **Mailing address fax:** (402) 484-4476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | — |
| 2085B0100X | Body Imaging Physician | — | — | — |
| 2085N0700X | Neuroradiology Physician | — | NULL | — |
| 2085N0700X | Neuroradiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 09/11/2025