Open Mri Of Missouri, L.L.C.
Clinic/Center, Radiology in Saint Louis, MO. Organization (NPI-2).
NPI number1790720936
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1790720936
- Entity type
- Organization (NPI-2)
- Legal business name
- Open Mri Of Missouri, L.L.C.
- Organization subpart
- No
- Enumeration date
- Jun 19, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0200X | Clinic/Center, Radiology | – | – | Yes |
| 261QM1200X | Clinic/Center, Magnetic Resonance Imaging (MRI) | – | – |
Other names
- Nydic Open Mri Of America-St. Louis (Doing Business As)
Practice location
1034 S Brentwood BlvdSuite 111
Saint Louis, MO 63117-1223
Phone 314-863-0084 · Fax 314-863-0096
Mailing address
100 Paragon DrSuite 200
Montvale, NJ 07645-1779
Phone 201-573-8080 · Fax 201-775-4306
Authorized official
Lawrence M. Buchwalter
President/Ceo
2015738080
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