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Organization
OPEN MRI OF DAVENPORT. L.L.C.
Active
Organization
OPEN MRI OF DAVENPORT. L.L.C.
Active
Other names
Nydic Open MRI of America-Davenport
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE M. BUCHWALTER (CEO)
(201) 573-8080
Entity
Organization
Contact information
Practice address
3006 E 53RD ST, DAVENPORT, IA 52807-3012
(563) 359-5400
(563) 359-7400
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
05
—
0180547
—
IA
01
—
1223691
FIRST HEALTH NETWORK
IA
01
—
148415
IOWA HEALTH SOLUTIONS
IA
01
—
20446
MEDFOCUS
IA
01
—
47142
BCBS OF IOWA
IA
01
—
7269100
COVENTRY HEALTHCARE OF IA
IA
01
—
A-87702
MULTIPLAN
IA
01
—
F230734
MIDLANDS CHOICE
IA
Enumeration date
05/24/2005
Last updated
09/11/2025
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