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NPI 1508869397

NPI 1508869397 : OPEN MRI OF MISSOURI II LLC : INDEPENDENCE, MO

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General NPI Number Information
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    NPI Number           |    1508869397
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    Entity Type          |    Organization 
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    Legal Business Name  |    OPEN MRI OF MISSOURI II LLC 
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Dates
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    Enumeration Date     |    05/24/2005
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    3431 S HWY 291 
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    City                 |    INDEPENDENCE
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    State                |    MO
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    Zip                  |    64057-2341
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    Country              |    US
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    Telephone            |    816-795-6266
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    Fax                  |    816-795-6966
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Provider Business Mailing Address
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    Address Line         |    100 PARAGON DR STE 200
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    City                 |    MONTVALE
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    State                |    NJ
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    Zip                  |    07645-1718
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    Country              |    US
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    Telephone            |    201-573-8080
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    Fax                  |    201-505-8905
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     LAWRENCE M. BUCHWALTER 
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    Credential           |    
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    Telephone            |    201-573-8080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM1200X
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    Taxonomy Name        |    Magnetic Resonance Imaging (MRI) Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QR0200X
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    Taxonomy Name        |    Radiology Clinic/Center
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    License Number       |    
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    License Number State |    
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