Organization
NYDIC OPEN MRI OF AMERICA-PENSACOLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE M. BUCHWALTER (PRESIDENT/CEO)
(201) 573-8080
Entity
Organization
Contact information
Practice address
5330 N DAVIS HWY, PENSACOLA, FL 32503-2006
(850) 484-8666
(850) 484-7663
Mailing address
100 PARAGON DR, SUITE 200, MONTVALE, NJ 07645-1779
(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
01
—
1216008
FIRST HEALTH NETWORK
FL
01
—
20332
MEDFOCUS
FL
01
—
34-00045
UNITED HEALTHCARE OF FL
FL
01
—
59026119
BCBS OF ALABAMA
FL
01
—
7773831
CIGNA HEALTHCARE
FL
01
—
7855117
AETNA US HEALTHCARE
FL
01
—
MR55114-61
SYNERGY INSURANCE SYSTEMS
FL
01
—
V2203
BCBS OF FLORIDA
FL
Enumeration date
06/19/2006
Last updated
09/11/2025
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