MEDICARE: OPEN MRI OF COLUMBUS, L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center	0837-IC	OH
2	261QR0200X	Radiology Clinic/Center	0837-IC	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1067796	OTHER	OH	FIRST HEALTH NETWORK
2	000000162279	OTHER	OH	ANTHEM
3	175273	OTHER	OH	UNISON
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	3364	OTHER	OH	MEDFOCUS
6	5688308	OTHER	OH	AETNA

General Provider Information

NPI Number	:	1649273566
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPEN MRI OF COLUMBUS, L.L.C.

Provider Business Mailing Address
First Line	:	100 PARAGON DR
Second Line	:	STE 200
City	:	MONTVALE
State	:	NJ
Zip	:	07645-1718
Country	:	US
Telephone Number	:	201-573-8080
Fax Number	:	201-775-4306

Provider Business Practice Location Address
First Line	:	6096 E MAIN ST
Second Line	:	STE 100
City	:	COLUMBUS
State	:	OH
Zip	:	43213-4302
Country	:	US
Telephone Number	:	614-751-5000
Fax Number	:	614-751-0499

Authorized Official
Title or Position	:	CEO
Name	:	LAWRENCE M. BUCHWALTER
Credential	:
Telephone Number	:	201-573-8080

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	09/11/2025

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