Open MRI of Boise, L.LC.

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

OPEN MRI OF BOISE, L.LC.

Doing business as

Nydic Open MRI of America-Boise

Practice address

7979 W Rifleman St
Ste 100
Boise, ID 83704-9066

Phone

(208) 375-6133

Fax

(208) 375-6461

NPI assigned

May 23, 2005

Organization subpart

No

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 1

Addresses

Other names 1

• Nydic Open MRI of America-Boise Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609879634",
    "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": "7979 W RIFLEMAN ST",
            "address_2": "STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049066",
            "telephone_number": "208-375-6133",
            "fax_number": "208-375-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MRI OF BOISE, L.LC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2020-08-22",
        "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nydic Open MRI of America-Boise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nickole Ann Oneida, RRT
• Julius Pua Ong, RPT
• Anna Isabel Onken
• Diana Oparnica
• Todd James Opdahl, CRNA
• Heather Marie Ophir, LMSW
• Nichole M Oprins, LCSW
• Optigenics LLC
• Optimal Care Pharmacy
• Optimal Health Ventures LLC Dba Boise Integrated Chiropractic

• Magnetic Resonance Imaging (MRI) Clinic/Center in Boise, ID
• Providers in Boise, ID by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.