Organization
NYDIC OPEN MRI OF AMERICA-LAFAYETTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE M. BUCHWALTER (CEO)
(201) 573-8080
Entity
Organization
Contact information
Practice address
600 GUILBEAU RD, SUITE 6, LAFAYETTE, LA 70506-8405
(337) 984-0002
(337) 984-0003
Mailing address
100 PARAGON DR, SUITE 100, MONTVALE, NJ 07645-1718
(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
—
1236965
FIRST HEALTH NETWORK
LA
01
—
1600912
UNITED HEALTHCARE
LA
05
—
1949515
—
LA
01
—
21500
MEDFOCUS
LA
01
—
A-91984
MULTIPLAN
LA
Enumeration date
04/05/2006
Last updated
09/11/2025
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