Organization
OPEN MRI OF BOISE, L.LC.
Active
Other names
Nydic Open MRI of America-Boise
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE M. BUCHWALTER (CEO)
(201) 573-8080
Entity
Organization
Contact information
Practice address
7979 W RIFLEMAN ST, STE 100, BOISE, ID 83704-9066
(208) 375-6133
(208) 375-6461
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
Primary
—
—
Other
Enumeration date
05/23/2005
Last updated
08/22/2020
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