National Provider Identifier Database

NYDIC OPEN MRI OF AMERICA KETTERING LLC
Radiology

Contact Information

NYDIC OPEN MRI OF AMERICA-KETTERING, LLC
580 LINCOLN PARK BLVD
SUITE 100
KETTERING, OH  45429-3474
Phone: 937-298-3510
Fax: 937-298-4231
Website:
Specialty Taxonomy Code
* Radiology 261QR0200X
Magnetic Resonance Imaging (MRI) 261QM1200X

* Indicates primary specialty

NPI Profile & details for NYDIC OPEN MRI OF AMERICA-KETTERING, LLC

NPI Number 1841252608
Legal business name
LBN		 NYDIC OPEN MRI OF AMERICA-KETTERING, LLC
Authorized official LAWRENCE BUCHWALTER - (CEO)
Entity Organization
Organization subpart No
Enumeration date 04/05/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • OH License #: 0839IC
  • OH Medicaid: 2433610
  • OH Other: 8463210 AETNA
  • OH Other: 000000039115 ANTHEM BCBS
  • OH Other: 21502 MEDFOCUS
  • OH Other: 37523 NATIONWIDE HEALTH PLANS
  • OH Other: 16-97244 UHC OF OHIO
  • OH Other: 175270 UNISON HEALTH PLAN
  • OH Other: 16-97244 UNITED HEALTHCARE OF OH

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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