Organization
NYDIC OPEN MRI OF AMERICA-BOARDMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE M. BUCHWALTER (CEO)
(201) 573-8080
Entity
Organization
Contact information
Practice address
1449 BOARDMAN CANFIELD RD, STE 140, BOARDMAN, OH 44512-8070
(330) 965-7370
(330) 965-7377
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
0838-IC
OH
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1206654
FIRST HEALTH NETWORK
OH
01
—
16-01304
UNITED HC OF OHIO
OH
01
—
175279
UNISON
OH
01
—
21503
MEDFOCUS
OH
05
—
2433601
—
OH
01
—
34187720100
BWC
OH
01
—
37524
NATIONWIDE HEALTH PLANS
OH
01
—
5739664
AETNA USHC ALL PLANS
OH
Enumeration date
05/23/2005
Last updated
09/11/2025
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