Organization
OPEN MRI OF FEDERAL WAY, L.L.C.
Active
Other names
Nydic Open MRI of America-Federal Way
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE M. BUCHWALTER (CEO)
(201) 573-8080
Entity
Organization
Contact information
Practice address
33301 9TH AVE S, STE 105, FEDERAL WAY, WA 98003-2600
(253) 952-8833
(253) 952-8866
Mailing address
100 PARAGON DR, STE 200, 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
—
1069170
FIRST HEALTH NETWORK
WA
01
—
115994
BWC
WA
01
—
16-50184
UNITED HEALTHCARE
WA
01
—
2504
MEDFOCUS
WA
01
—
5574678
AETNA US HEALTHCARE
WA
05
—
7085962
—
WA
01
—
8922466
WA WC-CRIME VICTIMS
WA
01
—
A-70849
MULTIPLAN
WA
01
—
OP8664
REGENCE BS
WA
Enumeration date
05/24/2005
Last updated
09/11/2025
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