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Organization

OPEN MRI OF MISSOURI II LLC

Active
Other names
Nydic Open MRI of America-Independence
Organization subpart
No

Provider details

NPI number
Authorized official
LAWRENCE M. BUCHWALTER (CEO)
(201) 573-8080
Entity
Organization

Contact information

Practice address
3431 S HWY 291, INDEPENDENCE, MO 64057-2341
(816) 795-6266
(816) 795-6966
Mailing address
100 PARAGON DR, STE 200, MONTVALE, NJ 07645-1718
(201) 573-8080
(201) 505-8905

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
1151126
FIRST HEALTH NETWORK
MO
01
11720
HEALTHCARE USA
MO
01
16-00435
UNITED HC OF THE MIDWEST
MO
01
17065
MEDFOCUS
MO
01
2042557
AETNA HMO
MO
01
24822013
BCBS OF KANSAS CITY
MO
01
3987
FIRSTGUARD HEALTH PLAN
MO
01
402227
BCBS OF KANSAS
MO
01
428178
HEALTHLINK
MO
01
5057623
AETNA PPOS
MO
01
742299
COVENTRY HC OF KANSAS
MO
Enumeration date
05/24/2005
Last updated
09/11/2025
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