# OPEN MRI OF MISSOURI, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nydic Open MRI of America-St. Louis
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790720936
- **Authorized official:** MR. LAWRENCE M. BUCHWALTER (PRESIDENT/CEO)
- **Authorized official phone:** (201) 573-8080

## Contact information

- **Practice address:** 1034 S BRENTWOOD BLVD, SUITE 111, SAINT LOUIS, MO 63117-1223
- **Practice address phone:** (314) 863-0084
- **Practice address fax:** (314) 863-0096
- **Mailing address:** 100 PARAGON DR, SUITE 200, MONTVALE, NJ 07645-1779
- **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 | — | NULL | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/19/2006
- **Last updated:** 09/11/2025