Organization
OPEN MRI OF MISSOURI II, L.L.C.
Active
Other names
Nydic Open MRI of America-St. Peters
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE M. BUCHWALTER (PRESIDENT/CEO)
(201) 573-8080
Entity
Organization
Contact information
Practice address
5650 MEXICO RD, SUITE 10, SAINT PETERS, MO 63376-1696
(636) 477-7277
(636) 477-7377
Mailing address
100 PARAGON DR, SUITE 200, MONTVALE, NJ 07645-1779
(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
—
11720
HEALTHCARE USA
MO
01
—
16-00435
UNITED HEALTHCARE OF MO
MO
01
—
17066
MEDFOCUS
MO
01
—
194359
BCBS OF MISSOURI
MO
01
—
30533
GROUP HEALTH PLAN
MO
01
—
399695
HEALTHLINK
MO
01
—
5927645
AETNA US HEALTHCARE
MO
01
—
QMXPRO249646
ALLIANCE BLUECHOICE
MO
Enumeration date
06/19/2006
Last updated
09/11/2025
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