NYDIC OPEN MRI OF AMERICA-KETTERING LLC NPI 1841252608

NPI Information

NPI: 1841252608
Provider Name: NYDIC OPEN MRI OF AMERICA-KETTERING, LLC
Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
580 LINCOLN PARK BLVD
SUITE 100
KETTERING, OH
ZIP 45429
Phone: (937) 298-3510
Get Directions

NYDIC OPEN MRI OF AMERICA-KETTERING, LLC is a magnetic resonance imaging (mri) clinic center in Kettering, OH. NYDIC OPEN MRI OF AMERICA-KETTERING, LLC NPI is 1841252608. The provider is registered as an organization entity type.

The provider's business location address is:

580 LINCOLN PARK BLVD
SUITE 100
KETTERING, OH
ZIP 45429-474
Phone: (937) 298-3510
Fax: (937) 298-4231

The provider's authorized official is Lawrence M. Buchwalter .
The authorized official title is Ceo and has the following contact phone number (201) 573-8080.

The enumeration date for this NPI number is 4/5/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)	0839IC	OHIO	Yes
2	261QR0200X	Clinic/Center	Radiology			X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	175270	OTHER	OHIO	UNISON HEALTH PLAN
2	21502	OTHER	OHIO	MEDFOCUS
3	8463210	OTHER	OHIO	AETNA
4	16-97244	OTHER	OHIO	UNITED HEALTHCARE OF OH
5	2433610	MEDICAID	OHIO
6	16-97244	OTHER	OHIO	UHC OF OHIO
7	000000039115	OTHER	OHIO	ANTHEM BCBS
8	37523	OTHER	OHIO	NATIONWIDE HEALTH PLANS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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