# OPEN MRI AT WALL, L.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:** Open Mri and Diagnostic Imaging of Wall
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982798021
- **Authorized official:** MICHAEL UNTERMAN M.D. (PRACTICE MANAGER)
- **Authorized official phone:** (732) 974-8060

## Contact information

- **Practice address:** 1975 STATE ROUTE 34, BLDG. D, WALL, NJ 07719-9750
- **Practice address phone:** (732) 974-8060
- **Practice address fax:** (732) 974-8820
- **Mailing address:** 1975 STATE ROUTE 34, BLDG. D, WALL, NJ 07719-9750
- **Mailing address phone:** (732) 974-8060
- **Mailing address fax:** (732) 974-8820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | 22832 | NJ | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 08/22/2020