Active NPI
Open MRI of Missouri II LLC
- Radiology Clinic/Center
- Independence, MO
National Provider Identifier
1508869397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- OPEN MRI OF MISSOURI II LLC
- Practice address
- 3431 S Hwy 291
Independence, MO 64057-2341 - Phone
- (816) 795-6266
- Fax
- (816) 795-6966
- NPI assigned
- May 24, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lawrence M. Buchwalter
- Title
- Ceo
- Phone
- (201) 573-8080
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | |||
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
3431 S Hwy 291
Independence, MO 64057-2341
Mailing address
100 Paragon Dr
Ste 200
Montvale, NJ 07645-1718
Phone (201) 573-8080
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 428178 | Other | MO | HEALTHLINK |
| 11720 | Other | MO | HEALTHCARE USA |
| 2042557 | Other | MO | AETNA HMO |
| 24822013 | Other | MO | BCBS OF KANSAS CITY |
| 16-00435 | Other | MO | UNITED HC OF THE MIDWEST |
| 1151126 | Other | MO | FIRST HEALTH NETWORK |
| 742299 | Other | MO | COVENTRY HC OF KANSAS |
| 3987 | Other | MO | FIRSTGUARD HEALTH PLAN |
| 402227 | Other | MO | BCBS OF KANSAS |
| 5057623 | Other | MO | AETNA PPOS |
| 17065 | Other | MO | MEDFOCUS |
Other names 1
- Nydic Open MRI of America-Independence
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Liberty, MO
- NPI 1770515249
-
- Diagnostic Radiology Physician
- Liberty, MO
- NPI 1306866025
-
- Diagnostic Radiology Physician
- Liberty, MO
- NPI 1811917487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1508869397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PARAGON DR",
"address_2": "STE 200",
"city": "MONTVALE",
"state": "NJ",
"postal_code": "076451718",
"telephone_number": "201-573-8080",
"fax_number": "201-505-8905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3431 S HWY 291",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640572341",
"telephone_number": "816-795-6266",
"fax_number": "816-795-6966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPEN MRI OF MISSOURI II LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-24",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BUCHWALTER",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "201-573-8080"
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "428178",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE USA",
"identifier": "11720",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2042557",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KANSAS CITY",
"identifier": "24822013",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HC OF THE MIDWEST",
"identifier": "16-00435",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH NETWORK",
"identifier": "1151126",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HC OF KANSAS",
"identifier": "742299",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTGUARD HEALTH PLAN",
"identifier": "3987",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KANSAS",
"identifier": "402227",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPOS",
"identifier": "5057623",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDFOCUS",
"identifier": "17065",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nydic Open MRI of America-Independence",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.