Provider Demographics
NPI:1710949573
Name:OPEN MRI OF KANSAS CITY, LLC
Entity Type:Organization
Organization Name:OPEN MRI OF KANSAS CITY, LLC
Other - Org Name:NYDIC OPEN MRI OF AMERICA-KANSAS CITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BUCHWALTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-573-8080
Mailing Address - Street 1:100 PARAGON DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MONTVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07645-1718
Mailing Address - Country:US
Mailing Address - Phone:201-573-8080
Mailing Address - Fax:201-775-4306
Practice Address - Street 1:4907 TOWN CENTER DR
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-2057
Practice Address - Country:US
Practice Address - Phone:913-491-8500
Practice Address - Fax:913-491-8510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
Not Answered261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS741085OtherCOVENTRY HC OF KS
KS1062017OtherFIRST HEALTH NETWORK
KS773231OtherBCBS OF KANSAS
KS5753489OtherAETNA USHC PPO POS
KS16836OtherMEDFOCUS
KS24283017OtherBCBS KANSAS CITY
KSA-70851OtherMULTIPLAN
KS16-00437OtherUNITED HEALTHCARE
KS5034OtherFIRSTGUARD HEALTH PLAN
KS988763OtherAETNA USHC HMO SR
KS5034OtherFIRSTGUARD HEALTH PLAN
KS24283017OtherBCBS KANSAS CITY