# NYDIC OPEN MRI OF AMERICA-KETTERING, LLC

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

## Provider details

- **NPI number:** 1841252608
- **Authorized official:** MR. LAWRENCE M. BUCHWALTER (CEO)
- **Authorized official phone:** (201) 573-8080

## Contact information

- **Practice address:** 580 LINCOLN PARK BLVD, SUITE 100, KETTERING, OH 45429-3474
- **Practice address phone:** (937) 298-3510
- **Practice address fax:** (937) 298-4231
- **Mailing address:** 100 PARAGON DR, SUITE 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 | 0839IC | OH | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/05/2006
- **Last updated:** 09/11/2025