Organization
NYDIC OPEN MRI OF AMERICA-KETTERING, 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
580 LINCOLN PARK BLVD, SUITE 100, KETTERING, OH 45429-3474
(937) 298-3510
(937) 298-4231
Mailing address
100 PARAGON DR, SUITE 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
0839IC
OH
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000039115
ANTHEM BCBS
OH
01
—
16-97244
UNITED HEALTHCARE OF OH
OH
01
—
175270
UNISON HEALTH PLAN
OH
01
—
21502
MEDFOCUS
OH
05
—
2433610
—
OH
01
—
37523
NATIONWIDE HEALTH PLANS
OH
01
—
8463210
AETNA
OH
Enumeration date
04/05/2006
Last updated
09/11/2025
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