Organization
OPEN MRI OF OMAHA LLC
Active
Other names
Nydic Open MRI of America-Omaha
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE M. BUCHWALTER (CEO)
(201) 573-8080
Entity
Organization
Contact information
Practice address
310 REGENCY PKWY, OMAHA, NE 68114-3791
(402) 391-1600
(402) 391-0700
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
—
03701
BCBS OF NEBRASKA
NE
05
—
0511881
—
IA
01
—
1600173
UNITED HEALTHCARE
NE
01
—
96860
WELLMARK OF IOWA
IA
Enumeration date
05/28/2006
Last updated
09/11/2025
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