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Organization

OPEN MRI OF MISSOURI, L.L.C.

Active
Other names
Nydic Open MRI of America-St. Louis
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LAWRENCE M. BUCHWALTER (PRESIDENT/CEO)
(201) 573-8080
Entity
Organization

Contact information

Practice address
1034 S BRENTWOOD BLVD, SUITE 111, SAINT LOUIS, MO 63117-1223
(314) 863-0084
(314) 863-0096
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
11159
HEALTHCARE USA
MO
01
16-00435
UNITED HEALTHCARE OF MO
MO
01
17064
MEDFOCUS
MO
01
194356
BCBS OF MISSOURI
MO
01
33820
GROUP HEALTH PLAN
MO
01
394937
HEALTHLINK
MO
01
5052580
AETNA US HEALTHCARE
MO
01
QMXPRO249467
ALLIANCE BLUECHOICE
MO
Enumeration date
06/19/2006
Last updated
09/11/2025
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